A patient is receiving digoxin therapy for heart failure. What assessment does the nurse perform before administering the medication?
a. Auscultate the apical pulse rate and heart rhythm.
b. Assess for nausea and abdominal distention.
c. Auscultate the lungs for crackles.
d. Check for increased urine output.
Answer: a. Auscultate the apical pulse rate and heart rhythm.
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A nurse performs an admission assessment on a 75-year-old client with multiple chronic diseases. The client's blood pressure is 135/75 mm Hg and oxygen saturation is 94% on 2 liters per nasal cannula
The nurse assesses the client's rhythm on the cardiac monitor and observes the reading shown below: Which action should the nurse take first? a. Begin external temporary pacing. b. Assess peripheral pulse strength. c. Ask the client what medications he or she takes. d. Administer 1 mg of atropine.
A client is diagnosed with systemic lupus erythematosus (SLE). Which of the following would be most appropriate for the nurse to use to evaluate the client' s stage of disease?
A) Observe the client's gait. B) Review the client's medical record. C) Inspect the client's mouth. D) Auscultate the client's lung sounds.
Which of the following procedures may lead to a false-negative result if conducted concurrently with use of a histamine1 (H1) antagonist?
a. Blood transfusion b. Allergy skin test c. Urinalysis d. Chest x-ray
When a PHN is working on a community diagnosis for an industrial town with a high incidence of a normally water-borne illness, the nurse researches the characteristics of the problem. This part of a community diagnosis looks at
A. What the problem is related to B. The assessment C. The population D. How the problem is demonstrated