An adult patient with heart failure is prescribed digoxin. The nurse should explain to the patient that when taking this medication, he or she should watch for the following adverse side effects:
A) Fatigue and nausea
B) Increased urine output
C) Weight loss
D) Decreased pulmonary crackles
Ans: A
Feedback: Adverse side effects of digoxin therapy include toxicity. Early symptoms include fatigue, nausea, anorexia, and depression.
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A 2-year-old child has to receive Rocephin IM injections every 12 hours. What nursing intervention should be implemented for the child?
a. Hold the child while rocking in a chair after each injection. b. Prepare the child several hours before the injection is given. c. Allow the child to watch a younger child receive an injection. d. Encourage the child to draw a picture of the pain experienced when an injection is given.
A 23-year-old patient is admitted with diabetes insipidus. Which action will be most appropriate for the registered nurse (RN) to delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?
a. Titrate the infusion of 5% dextrose in water. b. Teach the patient how to use desmopressin (DDAVP) nasal spray. c. Assess the patient's hydration status every 8 hours. d. Administer subcutaneous DDAVP.
The postpartum client has developed thrombophlebitis in her right leg. Which finding requires immediate intervention?
1. The client reports she had this condition after her last pregnancy. 2. The client develops pain and swelling in her left lower leg. 3. The client appears anxious, and describes pressure in her chest. 4. The client becomes upset that she cannot go home yet.
A patient who recently relocated from another city reports feeling depressed but has no previous history of depression. Which therapy should be considered for this patient?
1. Pharmacotherapy 2. Psychological first aid 3. Cognitive-behavioral therapy 4. Critical incident stress debriefing