Pharmacology Proctored ATI Practice Exam

When administering digoxin to a client with heart failure, it is crucial to evaluate the client for symptoms such as nausea, vomiting, and anorexia. These symptoms can indicate digoxin toxicity, which is a potential risk with this medication. Monitoring for early signs of toxicity is essential to prevent serious complications and ensure the medication is effective for the client's heart failure. Therefore, evaluating the client for these symptoms is the appropriate action when administering digoxin.

Skipping the dose if the pulse is below 60 bpm can be dangerous as bradycardia (slow heart rate) is a common side effect of digoxin but does not necessarily indicate toxicity. Increasing the dose if the client reports shortness of breath can worsen symptoms and potentially lead to toxicity. Administering the medication with antacids to reduce gastrointestinal upset is not recommended as antacids can interfere with the absorption of digoxin.