The nurse receives a healthcare provider order for a client that states, "Digoxin 25 mg IV STAT" What action should the nurse take first?
Explanation & Rationale
A. Clarify the order with the healthcare provider: The order for digoxin 25 mg IV is dangerously high and far exceeds the usual therapeutic dose (typically micrograms, not milligrams). The nurse must verify the order before administration to prevent life-threatening toxicity. B. Listen to the apical pulse for one minute: While assessing the apical pulse is essential before administering digoxin to check for bradycardia, verifying the unusually high dose takes priority to ensure client safety. C. Obtain a current blood pressure reading: Monitoring blood pressure is important because digoxin can affect cardiac output, but confirming the safety of the ordered dose comes before vital sign assessment in this scenario. D. Ensure the client's IV site is patent: Ensuring IV patency is necessary for safe medication administration, but it is secondary to clarifying an unsafe order to prevent immediate harm to the client.