The nurse suspects the patient may have toxic levels of digoxin in the bloodstream when what is assessed? (Select all that apply.)
A) Irregular heart rhythms
B) Nausea
C) Anorexia
D) Headache
E) Peripheral edema
A, B, C
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Digoxin toxicity is a serious syndrome that can occur when digoxin levels are too high. The patient may present with anorexia, nausea, vomiting, malaise, depression, irregular heart rhythms including heart block, atrial arrhythmias, and ventricular tachycardia. Peripheral edema is indicative of heart failure, not digoxin toxicity. Headache is not usually associated with digoxin toxicity.
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When screening clients for drug abuse, the nurse assesses the clients for common behavior patterns of persons with drug addiction, which include:
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A nurse is reviewing the chart of a 15-year-old girl who has been sexually active since the age of 12. Which of the following findings would be of most concern?
a. She does not perform self-breast exams. b. She has never had a Pap test. c. She had one HIV test performed at the age of 13. d. She does not use birth control pills.
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