Which are signs of digoxin (Lanoxin) toxicity?
a. Nausea
b. Bradycardia
c. Headache
d. Visual disturbance
e. Heart rate >60
f. Gastrointestinal complaints
A, B, C, D
Major signs of digoxin toxicity are nausea, bradycardia (HR <60), headache, and visual disturbances, as well as fatigue and dysrhythmias. Heart rate >60 is normal.
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The nurse is planning care for an individual diagnosed with borderline personality disorder. The nurse realizes that interventions will have to be focused on which of the following behaviors?
1. Desiring order and perfection 2. Not being able to make decisions 3. Acting out when feeling abandoned or disrespected 4. Withdrawing and becoming isolative
A nasogastric tube in inserted into Melanie's stomach prior to transferring her by air to a trauma center 60 miles away. The purpose of this order is to
A) give feedings. B) prevent aspiration. C) decompress the stomach. D) suction gastric contents.
The nurse is preparing to begin a physical examination for a patient with open lesions on the lower extremities. Which should the nurse evaluate during the physical assessment? (Select all that apply.)
a. Blood test results b. X-ray results c. Recent vital signs d. Patient's health history e. Subjective data
The nurse is asking the patient reflective, clarifying questions to help the patient make a list of what is important and not important in life and the time commitment for each. Which standardized (NIC) nursing intervention does this action implement?
1) Spiritual support 2) Self-Esteem Enhancement 3) Values Clarification 4) Hope Inspiration