NCLEX-RN · Question #272
Prior to administering digoxin to a client with congestive heart failure, the nurse needs to assess:
The correct answer is D. Apical pulse for 1 minute. (A) Respiratory rate is not directly affected by digoxin therapy. (B) A radial pulse is not as accurate as an apical pulse. Dysrhythmias may not be detected. (C) A radial pulse is not as accurate as an apical pulse, regardless of assessment time. (D) Apical pulse should be…
Question
Prior to administering digoxin to a client with congestive heart failure, the nurse needs to assess:
Options
- ARespiratory rate for 1 minute
- BRadial pulse for 1 minute
- CRadial pulse for 2 minutes
- DApical pulse for 1 minute
How the community answered
(16 responses)- C6% (1)
- D94% (15)
Explanation
(A) Respiratory rate is not directly affected by digoxin therapy. (B) A radial pulse is not as accurate as an apical pulse. Dysrhythmias may not be detected. (C) A radial pulse is not as accurate as an apical pulse, regardless of assessment time. (D) Apical pulse should be measured for 1-minute prior to digoxin administration. Digoxin decreases the heart rate. Digoxin should be withheld if apical rates are <60 bpm or >120 bpm.
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