The nurse has a prescription to give a client a scheduled dose of digoxin (Lanoxin). Prior to administering the medication, the nurse assesses for which of the following manifestations that could indicate digoxin toxicity?
1. Dyspnea, edema, and palpitations
2. Chest pain, hypotension, and paresthesias
3. Constipation, dry mouth, and sleep disorder
4. Double vision, loss of appetite, and nausea
4
Rationale: Double vision, loss of appetite, and nausea are signs of digoxin toxicity. Other signs of digoxin toxicity include bradycardia, visual alterations (such as green and yellow vision, or seeing spots or halos), confusion, vomiting, diarrhea, decreased libido, and impotence. The other options are incorrect because they do not identify manifestations of digoxin toxicity.
You might also like to view...
A client's laboratory findings reveal an elevated serum acid phosphatase level and a high-normal prostate-specific antigen level. How does the nurse interpret this information?
a. The client shows evidence of renal disease and should be evaluated further. b. These results may indicate prostate cancer. He should be further evaluated. c. These results are not abnormal. He does not need to be evaluated further. d. These results may indicate an infection. He should be evaluated further.
The nurse is educating a 16-year-old girl who has just been diagnosed with acute myelogenous leukemia. Which statement best demonstrates therapeutic communication?
A) Discussing the treatment plan in detail for the next few weeks B) Using medical terms when describing the disease C) Assessing the adolescent's emotional status in private D) Talking about clothing and the stores where she shops
What information is most important to include when teaching a patient about antianxiety drugs such as benzodiazepines?
A. Take antianxiety medications with a glass of wine. B. A sign of dependence is a strong desire to decrease the dose of the drug. C. If benzodiazepines must be stopped, the patient will need to be weaned off the dose. D. Combining grapefruit juice with benzodiazepines will cause decreased blood concentrations.
When the patient is sitting in a chair or wheelchair, the thighs must be at a 90° angle to the torso.
Answer the following statement true (T) or false (F)