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NCLEX Question of the Day
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A nurse prepares to administer digoxin to a client with heart failure. Before administration, what is the most important action for the nurse to take?
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Evaluate the client's urine output.
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Assess the client's level of consciousness.
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Correct answer Measure the client's apical pulse for one full minute.
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Check the client's blood glucose levels.
Rationale
Before administering digoxin, it is essential to measure the client's apical pulse for one full minute to assess for bradycardia, which is a common side effect of digoxin. If the pulse is below a provider-specified threshold (usually less than 60 beats per minute), the nurse should withhold the medication and consult with the provider. Checking the blood glucose level, urine output, and level of consciousness, while important in general patient care, are not the immediate priorities prior to digoxin administration.
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