An older adult patient is taking digoxin for treatment of heart failure. What is the priority nursing action for this patient related to the medication therapy?
a. Give the medication in conjunction with an antacid.
b. Keep the patient on the cardiac monitor and observe for ventricular dysrhythmias.
c. Check that the dose is in the lowest possible range for therapeutic effect.
d. Advise the patient that there is increased mortality related to toxicity.
Answer: c. Check that the dose is in the lowest possible range for therapeutic effect.
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The hospital has initiated a new fall risk assessment tool. The nurse manager would like to reward those staff members who use the tool regularly. Which method of reinforcement would be most successful in getting long-term compliance?
1. A coupon for free lunch for staff members each time they use the tool 2. A counseling session with the nurse manager when the assessment tool has not been used 3. A coupon for a free lunch for staff members who, according to a medical record review of nursing documentation, consistently use the tool correctly 4. A pizza party for the staff when there is 100 percent compliance
A 66-year-old female complains of fatigue and a "burning and itching feeling in the legs." Patient reports that the leg problem occurs during sleep and awakens her during the night
Current medications include: ACE inhibitor, Wellbutrin, and Prilosec. Denies use of tobacco or alcohol. History of hypertension, GERD, and depression. On physical examination, vital signs are T 98 degrees, 18 resps/ min, pulse 66, and BP 110/60. Heart: regular rate and rhythm, no murmurs. Lungs are clear to auscultation. Abdomen is non-tender with no organomegaly. Extremities: Skin is pink, cool to touch, and intact bilaterally. + Hallux valgus bilaterally. Left and right quadriceps muscle strength 5/5. DTRs left and right + 3/4. No clonus. Negative Homan's and Babinski's sign. Sensation to pin prick and cotton ball intact in extremities and equal bilaterally. Dorsalis pedis pulses +1/4 bilaterally. No neurological deficits. These signs and symptoms are characteristic of: A. Peripheral vascular disease B. Restless leg syndrome C. Peripheral neuropathy D. All of the above
A child with a myelomeningocele has a latex allergy. Which product found in the community should not be used by this child?
1. T-shirt appliqués 2. Mylar balloons 3. Elmer's school glue 4. Play dough
A nurse is pursuing certification as an occupational health nurse. Which organization will provide this certification?
a. American Board for Occupational Health Nurses b. Center for Occupational and Environmental Health c. National Institute for Occupational Safety and Health d. Occupational Safety and Health Administration