Question

A healthcare provider (HCP) prescribed digoxin 0.25 mg for a client with atrial fibrillation. The medication is available as 0.125-mg tablets. The nurse calculates that the client will receive 2 tablets of digoxin. When the nurse hands the medication to the client, the client looks at the medication and states, "Every time I get chest pain, I will take 1 of these heart pills." After double-checking the dosage calculation, the nurse should make which decision? 1. The medication should not be administered as prescribed and calculated. 2. Administer one-half tablet of the medication instead of the dosage calculated. 3. Administer the medication as prescribed and calculated, and proceed with further client teaching. 4. Administer the medication as prescribed and calculated, and monitor for adverse effects, such as seizures.

          A healthcare provider (HCP) prescribed digoxin 0.25 mg for a client with atrial fibrillation. The medication is available as 0.125-mg tablets. The nurse calculates that the client will receive 2 tablets of digoxin. When the nurse hands the medication to the client, the client looks at the medication and states, "Every time I get chest pain, I will take 1 of these heart pills." After double-checking the dosage calculation, the nurse should make which decision?

1. The medication should not be administered as prescribed and calculated.
2. Administer one-half tablet of the medication instead of the dosage calculated.
3. Administer the medication as prescribed and calculated, and proceed with further client teaching.
4. Administer the medication as prescribed and calculated, and monitor for adverse effects, such as seizures.

Added by Rosa R.

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