Reference no: EM133552939

Case Study: Naomi Bell, age 90, was admitted to the hospital yesterday after experiencing chest pain. She wears a hearing aid in her left ear. In the report you were told that she is "confused" and "doesn't answer questions appropriately." Her vital signs overnight were as follows: temperature, 98.0°F; pulse, 62 beats/min; respiration, 18 breaths/min; blood pressure, 132/86 mm Hg. She is due for her morning medications. You review her medication administration record:

Questions: As you inform Mrs. Bell of her ordered medications and state their purpose, she points to the digoxin and says, "Honey, I don't take that pill."

1. What are the safety checks to perform in order to administer medications safely?
2. How would you respond to Mrs. Bell's statement?
3. Should the nurse administer the medication? Why or why not? Provide a rationale
4. Research digoxin on Lippincott advisor. What assessments are required before administration?
5. If Mrs. Bell has a low pulse rate, low blood pressure, or a toxic laboratory value, what is the nurses action?