The nurse is preparing to administer doses of hydrochlorothiazide (HydroDIURIL) and digoxin (Lanoxin) to a patient who has heart failure. The patient reports having blurred vision. The nurse notes a heart rate of 60 beats per minute and a blood pressure of 140/78 mm Hg. Which action will the nurse take?

Question

Quizplus · Accepted Answer

Blurred vision can be a sign of digoxin toxicity, which can occur when serum levels are too high. With a heart rate of 60 beats per minute, it is important to evaluate the digoxin level before administering the medication again. Holding the medication and notifying the provider is the safest course of action. The hydrochlorothiazide may or may not be contributing to the patient's symptoms, but it is not the priority medication to hold in this situation. Blood glucose monitoring is not indicated in this scenario. Serum electrolyte evaluation is important but is not the first priority when the patient is experiencing a potential adverse drug reaction.

The Nurse Is Preparing to Administer Doses of Hydrochlorothiazide (HydroDIURIL)