NCLEX RN Practice Question

Digoxin levels above 2.0 ng/mL are generally considered toxic and can lead to complications such as bradycardia, nausea, and visual disturbances. Administering the medication without addressing the elevated digoxin level would pose a serious risk to the client. The nurse should hold the dose and immediately notify the prescribing physician to reassess the order. Simply administering a lower dose or doubling the monitoring frequency is not within the nurse's scope without consulting the provider, and administering the full dose could worsen toxicity symptoms.