A patient with congestive heart failure is receiving digoxin (Lanoxin) and furosemide (Lasix). During the morning rounds, the patient complains of nausea and yellow vision. What should the nurse do first?
  1. Check serum potassium level
  2. Check the serum digoxin level
  3. Count pulse rate and record ECG
  4. Stop digoxin
Explanation
Answer- D - The nurse should first stop digoxin. The complaints of the patient are similar to digitalis toxicity. The digoxin must be withheld until the level is known. The nurse should check the pulse and record ECG to check the occurrence of any arrhythmias. His serum potassium level needs to be checked urgently and corrected immediately. The patient’s serum digoxin level needs to be checked to evaluate the need for further treatment.
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