Question

A nurse is preparing to administer digoxin (Lanoxin) to a patient. The patient's heart rate is 62 beats per minute, and the blood pressure is 120/60 mm Hg. The last serum electrolyte value showed a potassium level of 5.2 mEq/L. What will the nurse do?

a. Contact the provider to request an increased dose of digoxin.
b. Give the dose of digoxin and notify the provider of the potassium level.
c. Request an order for a diuretic.
d. Withhold the dose and notify the provider of the heart rate.

Answer 1

The nurse should withhold the dose and notify the provider of the heart rate.

Step-by-step explanation:

The nurse should withhold the dose and notify the provider of the heart rate.

Given the patient's heart rate of 62 beats per minute and blood pressure of 120/60 mm Hg, as well as the last serum potassium level of 5.2 mEq/L, it is important to ensure the safety of the patient before administering the medication. Digoxin can cause bradycardia (slow heart rate) and arrhythmias, especially when there is already an elevated potassium level. Therefore, it is necessary to withhold the dose and inform the provider of the heart rate.