If a client’s digoxin level is 0.9 ng/mL, what should the nurse do before administering digoxin?

When considering the administration of digoxin, it is important to understand the therapeutic range and implications of the digoxin level present. A digoxin level of 0.9 ng/mL falls within the generally accepted therapeutic range for digoxin, which is typically between 0.5 and 2.0 ng/mL.

When a digoxin level is within this range, it indicates that the medication is effectively managing the client's condition without leading to toxicity. Therefore, administering the digoxin at this level is appropriate and aligns with the goal of maintaining therapeutic management of conditions such as heart failure or atrial fibrillation.

In this scenario, the nurse should proceed with the administration of digoxin, as doing so will help ensure that the client receives the necessary treatment. It's essential for the nurse to remember that monitoring for signs of efficacy and potential toxicity continues even after administration, but in this case, the level does not warrant any additional actions like holding the medication, notifying the healthcare provider, or repeating the level unless there are other clinical concerns present.