A client with chronic heart failure is receiving digoxin (Lanoxin), 0.25 mg by mouth daily, and furosemide (Lasix), 20 mg by mouth twice daily. The nurse instructs the client to notify the physician if nausea, vomiting, diarrhea, or abdominal cramps occur because these signs and symptoms may signal digoxin toxicity. Digoxin toxicity may also cause:
a) visual disturbances.
b) taste and smell alterations.
c) dry mouth and urine retention.
d) nocturia and sleep disturbances.
Answer: a) visual disturbances.
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A 4-month old baby was recently hospitalized with septicemia and now has a severe diaper rash. Which primary immunodeficiency disorder does the nurse suspect?
A. Antibody deficiency: B-cell disorder B. Combined deficiency: T- and B-cell disorder C. Complement defect disorder D. Phagocyte defect disorder
The nurse should instruct the patient to take what action if three nitroglycerin tablets taken sublingually are not effective in eliminating chest pain?
A) To call 911 B) To call her health care provider C) To lie down after taking an aspirin D) To take more tablets until pain subsides
The nurse is preparing to position an immobile patient. Before doing so, the nurse must understand that
a. Manual lifting is the easier method and should be tried first. b. Following body mechanics principles alone will prevent back injury. c. Body mechanics can be ignored when patient handling equipment is used. d. Body mechanics alone are not sufficient to prevent injuries.
A nurse determines that a patient has poor social skills that have interfered with his ability to engage others, which has contributed to his feelings of purposelessness, hopelessness, and withdrawal
Which of the following would be most important to assist the patient in beginning to social skills? A) Self-help group B) Recovery group C) Nurse—patient relationship D) Limit setting