Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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A nurse calls a physician regarding an order to administer digoxin (Lanoxin) to a patient with pulse of 58 and a serum potassium level of 2.9mEq/L. The physician says to administer the medication as ordered. The nurse should best respond by stating:
  1. “I will not give the medication.”
  2. “I think we should discuss this with the nursing supervisor.”
  3. “I’ll give the medication, but you will still be responsible if anything goes wrong.”
  4. “I’m sorry, but if you want the medication given, you will have to give it yourself.”
Explanation
Answer - A - The nurse should best respond by stating “I will not give the medication.” A pulse below 90 in an infant patient is an indication to withhold the drug. Digitalis toxicity can develop in patients with hypokalemia. The nurse should document both findings and not administer the digoxin.
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