💊 NCLEX-RN Exam Prep

A nurse is preparing to administer digoxin to a client with heart failure. Before administration, the nurse checks the client's apical pulse and finds it to be 52 beats/minute. What is the appropriate nursing action?

A Administer the digoxin as ordered.
B Hold the digoxin and notify the provider.
C Administer a half dose of the digoxin.
D Recheck the pulse in 30 minutes and then administer.

✓ Correct Answer: Option B

Digoxin slows heart rate. An apical pulse below 60 beats/minute is a contraindication for administration, and the nurse must hold the medication and notify the provider due to the risk of bradycardia.

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