An older client who takes digoxin has not eaten in 2 days. Which finding most concerns the nurse?
1. The client is experiencing nausea and vomiting.
2. A new prescription for an antacid is administered.
3. A recent weight loss of several pounds is documented.
4. The client is exhibiting weakness and visual disturbances
4. The client is exhibiting weakness and visual disturbances
Explanation: 1. Nausea and vomiting can occur for many reasons. This could result from digoxin toxicity or cause digoxin toxicity. The nurse is concerned about this finding and monitors closely. However, it is not most concerning.
2. Antacids should be taken 2 hours apart from most prescribed medications, including digoxin. The nurse is not yet concerned but does teach the client.
3. Changes in weight and water percentage are often a reason to alter medication doses. Digoxin is not weight based, but the nurse will observe for toxicity related to alterations in fluid and electrolyte status, paying special attention to potassium levels.
4. Vision changes such as blurred or yellowed vision are serious adverse effects of digoxin. Digoxin toxicity is the most likely cause of this and must be addressed immediately.
You might also like to view...
A newly admitted patient places a picture of a saint on the bedside table. What aspects of religion will the nurse take into consideration when caring for this patient? Select all that apply.Note: Credit will be given only if all correct choices and no incorrect choices are selected.
A. Religion often determines ethnic group. B. Religion is a domain of life that deals with things of the spirit. C. Illness is sometimes seen as punishment. D. Religion guides ethical values. E. Religion dictates the structure of the family.
The nurse is planning goals for a male client with the diagnosis of personality disorder. What is the main goal of the client's therapy?
a. To adjust to his medications b. To learn to get along with others c. To learn to control his environment d. To become aware of how his behavior affects his life
Some nursing theories and models have been developed to assist nurses in the delivery of culturally competent care. Which of the following is not one of these models or theories?
a. Leininger's Transcultural Nursing b. Purnell's Model for Cultural Competence c. Campinha-Bacote's Process of Cultural Competence d. Morrison's Model for Transcultural Awareness
A healthy young adult asks what can be done to improve eating habits. Which information should the nurse emphasize from the U.S. Dietary Guidelines with this client? (Select all that apply.)
a. Limit sodium intake to 2,300 mg/day. b. Limit alcoholic beverages to 4 drinks/day. c. Only drink beer on the weekends and avoid liquor. d. Choose fiber rich fruits, vegetables, and grains often. e. Consume less than 10% of calories from saturated fatty acids.