The client with heart failure is being treated with digoxin and has developed hypokalemia. What action should the nurse prepare to take?
A. Administer digoxin twice daily.
B. Reduce the digoxin dose to every other day.
C. Administer an intravenous bolus of potassium.
D. Monitor the client for toxic effects that can occur at normal doses.
D
Digoxin exerts its effects by binding to the potassium receptor site (competing with potassium) on the myocardial membrane. When serum potassium levels are below normal, more potassium receptor sites are bound with digoxin, allowing it to exert a greater effect at the same dosage.
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The nurse is performing a nutritional assessment with an older client who takes no medications. Which laboratory value should cause the nurse the most concern?
a. Albumin 4.2 gm/L b. Prealbumin 322 mg/L c. Transferrin 175 mg/dL d. Cholesterol 114 mg/dL
Girls experience an increase in weight and fat deposition during puberty. What do nursing considerations related to this include?
a. Give reassurance that these changes are normal. b. Suggest dietary measures to control weight gain. c. Encourage a low-fat diet to prevent fat deposition. d. Recommend increased exercise to control weight gain.
Which assessment finding is most indicative of client abuse? (Select all that apply.)
1. Indications of client fearfulness 2. Hesitancy to report health status 3. Trauma inconsistent with the cause 4. Domination of partner in an interview
Which of the following are examples of the use of guided imagery to promote patient comfort? Select all that apply
A) A nurse plays a patient's favorite music in the background. B) A nurse instructs a patient how to breathe properly for relaxation. C) A nurse reads a book to a patient who is postcataract surgery. D) A nurse asks a patient to imagine sitting on the beach on a sunny day. E) A nurse asks a patient to concentrate on the details of a pleasant image. F) A nurse asks a patient to focus on tightening and relaxing a particular muscle group.