A patient who is under digoxin therapy to treat chronic heart failure presents with symptoms such as nausea, vomiting, headache, and visual disturbances. Which of the following treatment options should be pursued?
A. The patient should be taken off digoxin immediately.
B. The patient should be administered a calcium blocker instead of digoxin.
C. The dose of digoxin should be reduced.
D. The dose of digoxin should be increased.
Answer: C
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The nurse is preparing to administer a time-release oral medication. Why should the nurse instruct the client to swallow the medication whole?
1. It tastes bad if chewed. 2. The client might not get the full effect if it is chewed. 3. The client could be overdosed if it is chewed. 4. Excretion of the drug is slowed if chewed.
When assessing for bowel sounds, which of the following is true?
A) All four quadrants should be auscultated in a consistent pattern. B) The presence of high-frequency sounds at 5- to 10-second intervals is abnormal. C) Bowel sounds should be heard at a rate of 80 to 90 per minute in the lower quadrants. D) Bowel sounds should be audible by the naked ear unless distention is present.
The nurse is providing care to a child with pancreatitis. When reviewing the child's laboratory test results, what would the nurse expect to find? Select all that apply
A) Leukocytosis B) Decreased C-reactive protein C) Elevated serum amylase levels D) Positive stool culture E) Decreased serum lipase levels
The nurse is contributing to a nutrition and hydration teaching plan for a patient who has AIDS. What recommendations should the nurse include in this plan? (Select all that apply.)
a. Avoid soft cheeses. b. Avoid Caesar salad. c. Avoid public drinking fountains. d. Avoid all beers and all soft drinks. e. Avoid leftovers or heat until steaming. f. Cook red meat until internal temperature is 165°F with no trace of pink.