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Daily #46 · Cardiovascular · Archive

NCLEX-RN® question of the day

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The question

A nurse is preparing to administer digoxin 0.25 mg PO to a patient with heart failure. Before administering the medication, the nurse assesses the patient's apical pulse and finds it to be 58 beats per minute. What is the most appropriate nursing action?

  1. Administer the medication as ordered and document the pulse rate
  2. Withhold the medication and notify the healthcare provider
  3. Recheck the pulse in 30 minutes and administer if above 60
  4. Administer half the dose and monitor the patient closely

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