A nurse is caring for a three-year-old patient with a diagnosis of congestive heart failure. The nurse notes that the apical pulse is 118 beats per minute and is about to administer Lanoxin. Based on this finding, the nurse should:
  1. Administer the medication as ordered
  2. Recheck the apical pulse after twenty-thirty minutes
  3. Hold the medication
  4. Notify the physician
Explanation
Answer - A - Based on this finding, the nurse should administer the medication as ordered. The finding is within the normal range of 80-120 beats per minute.
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