NCLEX-RN (Registered Nurse) Practice Exam · Question
Before administering digoxin, the nurse MUST assess:
Digoxin slows the heart. Hold and notify provider if apical HR <60 (adults) or <90–110 (infants). Also monitor K+ — hypokalemia potentiates toxicity.
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Question: Before administering digoxin, the nurse MUST assess:
Answer options:
- Blood pressure only ✅ Apical pulse for one full minute; hold if <60 bpm in adults
- Respiratory rate
- Temperature
Correct answer: Apical pulse for one full minute; hold if <60 bpm in adults
Explanation: Digoxin slows the heart. Hold and notify provider if apical HR <60 (adults) or <90–110 (infants). Also monitor K+ — hypokalemia potentiates toxicity.
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