What is the most important action for you to teach a patient to perform before taking his or her daily dose of digoxin (Lanoxin)?
a. Check the pulse for a full 60 seconds.
b. Look for edema in your ankles.
c. Notify the prescriber for any heart palpitations.
d. Take the drug at exactly the same time every day.
ANS: A
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A client has recently been placed in a long-term care facility, because of marked confusion and inability to perform most activities of daily living (ADLs). Which nursing intervention is most appropriate to maintain the client's self-esteem?
1. Leave the client alone in the bathroom to test ability to perform self-care. 2. Assign a variety of caregivers to increase potential for socialization. 3. Allow client to choose between two different outfits when dressing for the day. 4. Modify the daily schedule often to maintain variety and decrease boredom.
The nurse would remind a client that the cause of sudden death after myocardial infarction is usually
a. congestive heart failure. b. dysrhythmias. c. myocardial ischemia. d. stroke.
The nurse is reviewing the patient's medication prior to the medication pass and realizes that gemfibrozil (Lopid) and warfarin (Coumadin) are to be administered concomitantly. This finding concerns the nurse, who is aware that the _______ will be _______
a. level of gemfibrozil; increased b. level of gemfibrozil; reduced c. anticoagulant effects; increased d. anticoagulant effects; reduced
Which nursing diagnosis is likely to apply to an individual with severe and persistent mental illness who is homeless?
a. Insomnia b. Substance abuse c. Chronic low self-esteem d. Impaired environmental interpretation syndrome