Question

when assessing a client prior to the administration of digoxin, which data is most important for the nurse to consider? presence of a grade 2 murmur. nailbed capillary refill of 5 seconds. irregular apical pulse with a rate of 87. bilateral lower extremity dependent rubor. multiple ch single answe to answer this it a single answer.

Explanation:

Digoxin is a cardiac glycoside used to treat heart conditions, and its administration requires careful assessment of the heart's rhythm and rate. An irregular apical pulse (even with a rate of 87) is critical because digoxin affects cardiac conduction and rhythm. A grade 2 murmur is a heart sound finding but not the most urgent for digoxin admin. A 5 - second capillary refill indicates poor perfusion but is not as directly related to digoxin's effects on the heart rhythm. Dependent rubor relates to peripheral vascular issues, not core to digoxin's action on the heart. So the irregular apical pulse is the most important data.

Answer:

C. Irregular apical pulse with a rate of 87.