A client is prescribed a loading dose of a cardiac glycoside for an exacerbation of heart failure. When the client comments, "I usually take a much lower dose." hich response by the nurse is the most appropriate?

Question

Quizplus · Accepted Answer

The client is being given a loading dose in order to quickly increase blood levels of the drug. This is necessary during an exacerbation of heart failure in order to achieve a therapeutic effect more quickly. A large dose does not necessarily reduce the incidence of side effects and it is not appropriate for the nurse to dismiss the client's concerns or question about the medication. The nurse should not make assumptions about the client's response to the medication or make any judgments about the client's usual dose.

A Client Is Prescribed a Loading Dose of a Cardiac