A Patient's Bedside Electrocardiogram (ECG)strips Show the Following Changes: Increased

A patient's bedside electrocardiogram (ECG) strips show the following changes: increased PR interval; increased QRS width; and tall,peaked T waves.Vital signs are temperature 98.2° F; heart rate 118 beats/min; blood pressure 146/90 mm Hg; and respiratory rate 18 breaths/min.The patient is receiving the following medications: digoxin 0.125 mg PO every day; D₅1/2 normal saline with 40 mEq potassium chloride at 125 mL/hr; Cardizem at 30 mg PO q8h; and aldosterone at 300 mg PO q12h.The practitioner is notified of the ECG changes.What orders should the nurse expect to receive?

A) Change IV fluid to D51/2 normal saline and draw blood chemistry.
B) Give normal saline with 40 mEq of potassium chloride over a 6-hour period.
C) Hold digoxin and draw serum digoxin level.
D) Hold Cardizem and give 500 mL normal saline fluid challenge over a 2-hour period.

Correct Answer:

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