The nurse is assessing a patient with myocarditis before administering the scheduled dose of digoxin (Lanoxin). Which finding is most important for the nurse to communicate to the health care provider?

a. Leukocytosis
b. Irregular pulse
c. Generalized myalgia
d. Complaint of fatigue


ANS: B
Myocarditis predisposes the heart to digoxin-associated dysrhythmias and toxicity. The other findings are common symptoms of myocarditis and there is no urgent need to report these.

Nursing

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After invasive procedures to assess the respiratory system, which of the following signs should the nurse assess?

A) Watery sputum C) Respiratory distress B) Loss of consciousness D) Masses in pleural space

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A nurse is discussing internal family coping strategies with a family following a family crisis. Which of the following would the nurse be explaining?

a. Asking a distant relative for a loan b. Talking to relatives about stresses and worries c. Attending a local worship service d. Using public assistance to obtain food stamps

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Which is the most potent naturally occurring glucocorticoid?

a. Aldosterone b. Testosterone c. Cortisol d. Prolactin

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A patient is diagnosed with a heart problem that affects preload. How should the nurse describe preload to the patient?

a. Ejection of blood from ventricles b. Degree of stretch in ventricles before systole c. Degree of muscle stretch in atrium during diastole d. Amount of force ventricles exert to open valves and eject blood

Nursing