The physician has ordered the client to receive digoxin (Lanoxicaps) twice per day until a therapeutic level is attained. When the nurse takes the client’s apical pulse on the 3rd day, the pulse is 58, and the client complains of nause
a. What should the nurse do nextA. Administer the medication and leave a note on the chart for the physician.B. Order a serum digoxin level to be drawn.C. Administer the medication and medicate the client for nausea.D. Withhold the medication and notify the physician.
参考答案：D
解析：Withholding the medication and notifying the physician is the first step in treating what very well may be digitalis toxicity. Continuing to administer digoxin may result in heart block, while obtaining a serum level doesn’t treat the problem.