Answer :
Final answer:
The nurse would be expected to administer Digoxin immune Fab (Digibind) given the client's elevated serum digoxin level and irregular heart rate.
Explanation:
The question pertains to a situation dealing with a client who has a serum digoxin level of 2.2ng/dl, exhibiting a heart rate of 120 which is irregular. In this case, the nurse would be expected to administer Digoxin immune Fab (Digibind).
Digibind is used when there are elevated levels of digoxin in the system indicating a potential digoxin toxicity. With the client's serum digoxin level at 2.2ng/dl, this surpasses the generally accepted normal range which is up to 2.0 ng/mL, necessitating an intervention.
Irregular heart rate and other conditions such as arrhythmias can be influenced by electrolyte imbalances particularly with sodium and potassium. However, in this context, the high digoxin level would take precedence in determining the intervention needed.
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