A client comes to the clinic for a visit. The client has been taking digoxin for several months. While interviewing the client, the nurse suspects the client is experiencing digoxin toxicity based on which of the following? Select all that apply
A) Anorexia
B) Weakness
C) Inability to relax
D) Photosensitivity
E) Disorientation
Ans: A, B, E
Feedback:
Signs of digitalis toxicity include anorexia, weakness, lethargy, blurred vision, and disorientation. An inability to relax and photosensitivity are not associated with digitalis toxicity.
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A gravida client at 32 weeks of gestation reports that she has severe lower back pain. The nurse's assessment should include:
a. Observation of posture and body mechanics. b. Palpation of the lumbar spine. c. Exercise pattern and duration. d. Ability to sleep for at least 6 hours uninterrupted.
A 27-year-old female patient is diagnosed with invasive cervical cancer and is told she needs to have a hysterectomy. One of the nursing diagnoses for this patient is "disturbed body image related to perception of femininity."
What intervention would be most appropriate for this patient? A) Reassure the patient that she will still be able to have children. B) Reassure the patient that she does not have to have sex to be feminine. C) Reassure the patient that you know how she is feeling and that you feel her anxiety and pain. D) Reassure the patient that she will still be able to have intercourse with sexual satisfaction and orgasm.
Some studies have reported both behavioral improvement and noticeable regrowth of _____ ______ in long term alcoholics after several months of abstinence.
Fill in the blank(s) with the appropriate word(s).
The mother of a young child voices concern about immunizations for her child. Which response is best?
a. "Immunization is generally a safe method of avoiding certain diseases and the com-plications that go along with these diseas-es." b. "There are no risk factors associated with immunizations, so there is no reason to worry." c. "I really don't understand the thinking behind people not immunizing their children if it can prevent disease." d. "Recommendations of Healthy People 2020 Goal 14 is to reduce or eliminate cases of vaccine-preventable diseases, so I strongly urge you to immunize your child."