An infant with congestive heart failure is receiving digoxin (Lanoxin). What does the nurse recognize as a sign of digoxin toxicity?
a. Restlessness
b. Decreased respiratory rate
c. Increased urinary output
d. Vomiting
ANS: D
Symptoms of digoxin toxicity include: nausea, vomiting, anorexia, irregularity in pulse rate and rhythm, and a sudden change in pulse.
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The nurse is reviewing postoperative medication orders. Which order can the nurse implement?
a. Acetaminophen orally PRN pain b. Meperidine (Demerol) 75-100 mg every 3-4 hours PRN pain c. MS .5 mg subcutaneously every 1-3 hours PRN pain d. Hydromorphone hydrochloride (Dilaudid) 1 mg orally every 4 hours PRN pain
A patient with end-stage pancreatic cancer is admitted to the nursing unit. The patient is lethargic and jaundiced. What is the priority nursing care for this patient?
1. Manage nutrition. 2. Increase activity. 3. Manage comfort. 4. Understand the effects of high bilirubin levels.
The nurse is concluding the patient assessment. Which of the following actions would be most appropriate?
A. Acquire secondary data to verify health problems B. summarize findings and concerns with the patient C. discuss patients hx with other providers D. Apply interventions appropriate for patient condition