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Exam NCLEX-RN topic 4 question 9 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 9
Topic #: 4
[All NCLEX-RN Questions]

Prior to administering digoxin to a client with congestive heart failure, the nurse needs to assess:

  • A. Respiratory rate for 1 minute
  • B. Radial pulse for 1 minute
  • C. Radial pulse for 2 minutes
  • D. Apical pulse for 1 minute
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Suggested Answer: D 🗳️
(A) Respiratory rate is not directly affected by digoxin therapy. (B) A radial pulse is not as accurate as an apical pulse. Dysrhythmias may not be detected. (C) A radial pulse is not as accurate as an apical pulse, regardless of assessment time. (D) Apical pulse should be measured for 1-minute prior to digoxin administration.
Digoxin decreases the heart rate. Digoxin should be withheld if apical rates are <60 bpm or >120 bpm.
by [deleted] at March 10, 2025, 6:41 a.m.

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