Cardiac-Vascular Nursing Exam Prep II

Category - AACN Cardiac Vascular Nursing Practice Test

A patient diagnosed with heart failure is receiving digoxin (Lanoxin) and furosemide (Lasix). During the morning rounds, the patient complains of nausea and yellow vision. Which of the following nursing actions is a priority?
  1. Continue with the drug administration
  2. Give digoxin only
  3. Check serum potassium level
  4. Check the serum digoxin level
Explanation
Answer- D - The priority action by the nurse is to check the serum digoxin level. The nurse should be able to check the morning results of the digoxin level of the patient. The complaints of the patient are similar to digitalis toxicity. The digoxin must be withheld until the level is known.
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