A client with chronic kidney disease is scheduled to be given the following medications: digoxin (Lanoxin)and epoetin alfa (Epogen).The client reports nausea and vomiting and wishes to wait to take the medications.Which action by the nurse is most appropriate?

Question

Quizplus · Accepted Answer

Clients with kidney failure are particularly at risk for digoxin toxicity because the drug is excreted by the kidneys.When caring for clients with chronic kidney disease (CKD)who are receiving digoxin,monitor for signs of toxicity,such as nausea and vomiting.Potassium imbalances can alter digoxin levels as well.The nurse should hold the dose,check the current potassium level,and notify the provider.Giving the digoxin could be dangerous,so the nurse should not administer it with crackers,give it later,or ask for an anti-nausea medication.

A Client with Chronic Kidney Disease Is Scheduled to Be