Question

A patient prescribed digoxin (Lanoxin) 0.25 mg and furosemide (Lasix) 40 mg for the treatment of systolic heart failure states, "I am starting to see yellow halos around lights." Which action will the nurse take?

A. Perform a visual acuity test on each eye.

B. Assess for other symptoms of digoxin toxicity.

C. Prepare to administer digoxin immune fab (Digifab).

D. Document the finding and reassess in 1 hour.

Answer 1

The nurse should assess for other symptoms of digoxin toxicity and communicate the findings to the healthcare provider. Digoxin immune fab (Digifab) is administered to treat severe digoxin toxicity, but it is not the initial action in this case.

Step-by-step explanation:

The nurse should assess for other symptoms of digoxin toxicity. Yellow halos around lights can be a sign of digoxin toxicity, which is a potential side effect of the medication. Other symptoms of digoxin toxicity include nausea, vomiting, blurred vision, confusion, and irregular heartbeat.

Digoxin immune fab (Digifab) is administered to treat severe digoxin toxicity, but it is not the initial action in this case. The nurse should first assess for other symptoms to determine the severity of the toxicity and then communicate the findings to the healthcare provider for further guidance.

Performing a visual acuity test on each eye and documenting the finding are appropriate actions, but they are not the priority in this situation.