A patient who is taking digoxin (Lanoxin) is diagnosed with myocarditis. For which effect should the nurse monitor the patient?
a. Increased inflammation
b. Decreased inflammation
c. Increased risk of toxicity
d. Decreased risk of toxicity
ANS: C
With myocarditis, the heart is sensitive to digoxin, which may be used to treat heart failure, and toxicity may occur even with small doses. A. B. D. Digoxin (Lanoxin) is not associated with inflammation. The patient's at risk for increased and not decreased toxicity.
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An adolescent client with a sexually transmitted infection (STI) says to the nurse, "Promise you won't tell my parents about my condition." Which action by the nurse is appropriate?
A) Disclosing information to the parents B) Communicating only necessary information C) Respecting the client's privacy and confidentiality D) Honoring the client's wishes
After the 2010 Dietary Guidelines were released, a community health nurse updated a nutrition presentation that was being used to educate various community groups about healthy eating habits. Which of the following information would have been added to the presentation?
a. Consumption of increased amounts of carbohydrates b. Impact of the environment on the publics food, drink, and activity choices c. Revised guidelines for the use of MyPyramid d. Inclusion of physical activity standards
The nurse is preparing to administer a blood transfusion to a client who experienced postoperative hemorrhaging. Which of the following is a guideline for this procedure?
The nurse is preparing to administer a blood transfusion to a client who experienced postoperative hemorrhaging. Which of the following is a guideline for this procedure? A) Three licensed personnel must identify the client. B) Two licensed personnel must identify the unit of blood C) The client should wear only the hospital ID band provided at admission. D) The nurse should ask the client what his or her blood type is before the transfusion.
A nurse shines a light in the right pupil to test constriction and notices that the left pupil constricts as well. Based on these data, the nurse should take what action?
a. Document this finding as an abnormal finding. b. Assess the patient for accommodation. c. Document this finding as a consensual reaction. d. Assess the patient's corneal light reflex.