The nurse checks the laboratory result for a serum digoxin level that was determined for a client earlier in the day and notes that the result is 2.4 ng/Ml. Which of the following is the most important action on the part of the nurse? *1 pointA. Notify the physicianB. Check the client’s last pulseC. Record the normal value on the client’s flow sheetD. Administer the next dose of the medication as scheduled.
Question
The nurse checks the laboratory result for a serum digoxin level that was determined for a client earlier in the day and notes that the result is 2.4 ng/Ml. Which of the following is the most important action on the part of the nurse? *1 pointA. Notify the physicianB. Check the client’s last pulseC. Record the normal value on the client’s flow sheetD. Administer the next dose of the medication as scheduled.
Solution
The most important action on the part of the nurse would be A. Notify the physician. The normal range for serum digoxin levels is between 0.5 and 2.0 ng/mL. A level of 2.4 ng/mL is above the therapeutic range and could indicate digoxin toxicity, which can be life-threatening. Therefore, the physician should be notified immediately.
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