An older adult client recently started digoxin (Lanoxin)and is in the office for a routine checkup.Lab tests show a decline in the client's renal function.Which is a priority concern for the nurse based on the lab results?

Question

Quizplus · Accepted Answer

The priority concern for the nurse would be the increased likelihood of digoxin toxicity due to the client's decreased ability to excrete the medication. Digoxin is eliminated primarily by the kidneys, so any decline in renal function could lead to a buildup of the drug in the client's system, potentially causing toxicity. It is important for the nurse to monitor the client closely for signs of toxicity and to consider adjusting the dosage of digoxin as appropriate. A and D are incorrect because they suggest that digoxin may be causing the decline in renal function or that the client may have a reduced response to digoxin, but these are not the immediate concerns based on the lab results. B is unlikely since renal function is typically measured by serum creatinine or estimated glomerular filtration rate (eGFR), which should not be affected by digoxin interference.

An Older Adult Client Recently Started Digoxin (Lanoxin)and Is in the Office