KAPLAN INTEGRATED PHARM EXAM The nurse prepares to administer digoxin 0.01 mg/kg PO to a 2-month-old infant. The infant weighs 5 kg.The sleeping infant's apical pulse is 70 bpm. The nurse takes which most appropriate action? Withholds the medication and notifies the health care provider immediately. The nurse instructs a client who is to take rifampin. The nursing informs the client that which adverse effect may occur? Orange-colored urine The nurse provides care for a client diagnosed with Hodgkin's disease. The client received cyclophosphamide. Which laboratory value does the nurse report to the healthcare provider? Platelets 40,000 mm3 (40x10^9/L) Th nurse reviews laboratory reports for a client receiving digoxin and furosemide. Which laboratory values most concern the nurse? K= 3.2 mEq/L (3.2 mmol) ; digoxin level= 2.2 ng/mL (2.8 n mmol/L) The nurse instructs the client who is to take risperidone daily. Which adverse effects are included in the teaching? Diarrhea and increased salivation The nurse provides care for a client diagnosed with bipolar disorder. The client receives lithium. Which sign or symptom indicates lithium toxicity? Unsteady gait The nurse teaches the client about sublingual nitroglycerin administration. Which client statement indicates further teaching is necessary? I will swallow frequently until