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A child with heart disease starts on oral digoxin (Lanoxin). When preparing to administer the medication, which of the following should the nurse do first?*1 pointa. Check the last serum electrolyte results for the child.b. Verify the dosage with a pharmacist who is working that day.c. Ask the mother if she is willing to administer the medication.d. Teach the mother how to measure the child’s heart rate.

Question

A child with heart disease starts on oral digoxin (Lanoxin). When preparing to administer the medication, which of the following should the nurse do first?*1 pointa. Check the last serum electrolyte results for the child.b. Verify the dosage with a pharmacist who is working that day.c. Ask the mother if she is willing to administer the medication.d. Teach the mother how to measure the child’s heart rate.

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Solution

The first step the nurse should take when preparing to administer the medication is to check the last serum electrolyte results for the child. This is because digoxin can interact with certain electrolytes, such as potassium, that are crucial for heart function. If the child's electrolyte levels are not within a normal range, it could affect how the child responds to the medication. Therefore, it's important to have this information before administering the drug.

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