The nurse is caring for a geriatric client. The client is ordered Lanoxin (digoxin) tablets 0.125 mg daily for a cardiac dysrhythmias. Which of the following assessment considerations is essential when caring for this age-group?
A) Digoxin level
B) Cardiac output
C) Activity level
D) Dyspnea
A
Feedback:
The action of Digoxin slows and strengthens the heart rate. Assessment of the pulse rate is essential prior to administration in all clients. Due to decreased perfusion common in geriatric clients, toxicity may occur more often. The nurse must monitor Digoxin levels in the body. Monitoring symptoms reflecting cardiac output, activity level, and dyspnea are also important assessment considerations for all clients.
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A patient is administered a third-generation cephalosporin. Which of the following microorganisms are cephalosporins most effective in treating?
A) Gram-positive B) Gram-negative C) Fungi D) Virus
In addition to providing coaching, a nurse mentor may provide counseling to the mentee. For counseling to be successful, the mentor must:
a. Provide a quiet environment away from the unit. b. Keep the focus on technical and manage-ment responsibilities. c. Assure confidentiality. d. Present assignments that stretch the intel-lectual and technical ability of the mentee.
What disorder of the testes is most likely the diagnosis?
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A patient is diagnosed with valvular heart disease after experiencing rheumatic heart fever. What should the nurse realize caused this disorder?
A. Molecular mimicry B. Release of hidden antigens into the circulation C. Autoimmune response by slow-growing mycobacteria D. Biologic changes that cause self-antigens to produce autoantibodies