As part of discharge teaching, the nurse is instructing a patient on the use of digoxin. What should be included in the teaching? (Select all that apply.)
a. Change position quickly to avoid orthostatic hypotension.
b. Take pulse before taking medication and if below 60 or above 100, call the physician.
c. Report blurred vision, photophobia, or seeing yellowish green halos.
d. Take medication exactly as directed at the same time each day.
e. Report if a persistent cough occurs.
ANS: B, C, D
B, C, D. Pulse rate should be taken and vision changes reported, as they indicate toxicity, and medication should be taken as directed. A is a concern with medications that affect blood pressure, not digoxin. E occurs with angiotensin converting enzyme inhibitor (ACEI) medications.
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A patient on the oncology unit is receiving carmustine, a chemotherapy agent, and the nurse is aware that a significant side effect of this medication is thrombocytopenia. Which symptom should the nurse assess for in patients at risk for thrombocytopenia?
A) Interrupted sleep pattern B) Hot flashes C) Epistaxis (nose bleed) D) Increased weight
The nurse notes that the patient has developed a hematoma at the knee replacement surgical site with a decreased pedal pulse of the same leg. The most appropriate nursing diagnosis for this patient is:
A) Risk for infection B) Risk of peripheral neurovascular dysfunction C) Ineffective health maintenance D) Self-esteem disturbance
Which of the following interpretations is acceptable as worded?
a. The study proved that cigarette smoking causes lung cancer. Financial incentives must be offered by insurance companies to all persons who cease smoking. b. Findings suggest that antihypertensives influence both length and quality of life, and that their use is more beneficial than formerly realized. c. The positive correlation between owning a dog who demands to be walked daily and the owner's cardiovascular health indicates that all people should own dogs. d. Results imply that all humans who use amphetamines will have shortened life spans, and patient teaching needs to include this vital information.
Which of the following signs are seen in response to acute pain? Select all that apply
A) Constricted pupils B) Increased blood pressure C) Increased heart rate D) Decreased respiratory rate E) Rapid speech