The LPN/LVN must be aware that digitalis can cause toxicity; it can also cause hormonal effects in male patients. Which hormonal problems can this medication cause a male patient?
a. Increased appetite and weight gain
b. Swelling in the legs and feet
c. Gynecomastia and tender breasts
d. Discoloration around the neck and eyes
ANS: C
Male users of digoxin have reported estrogen-type effects such as gynecomastia (enlargement of the breasts in men) and breast tenderness.
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The nurse is assessing the client who is on a mechanical ventilator. A priority assessment for this client is:
1. assessing pedal pulses. 2. providing dehumidified oxygen. 3. using hand signals to communicate with the client. 4. ensuring that the endotracheal tube is secured.
Ear pain related to tenderness over the auricle and ear canal is most commonly related to:
A. Excessive exposure to noise B. Cerumen impaction C. Otitis externa D. Ménière's disease
The daughter of a client, who is at the end of life, is concerned that the gurgling sound she hears is her father drowning in his own secretions. What is the best initial response by the nurse?
A) "This must be very upsetting to watch, but he isn't suffering." B) "It might be best if you leave the room." C) "You may not be giving him enough fluid." D) "I'll suction him now."
When preparing to care for a client with a family history of Paget's disease, it is most important for the nurse to include education in which area?
a. Avoidance of infections b. Exercise program c. Nutrition high in vitamin C d. Need for genetic testing