The LPN/LVN must be aware that digitalis can cause toxicity, but it can also cause hormonal effects in male patients. Select the hormonal problems this medication can cause a male patient
1. Increased appetite and weight gain.
2. Swelling in the legs and feet.
3. Gynecomastia and tender breasts.
4. Discoloration around the neck and eyes.
3
Male users of digoxin have reported estrogen-type effects such as gynecomastia (enlargement of the breasts in men) and breast tenderness.
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A 17-year-old female is suspected of having narcolepsy. Which of the following aspects of her medical history and sleep analysis would contribute to a confirmation of the diagnosis?
Select all that apply. A) She repeatedly moves her large toe, ankle, and knee during sleep. B) She complains of a powerful urge to move her legs when in bed at night. C) She has frequently awakened unable to move or speak. D) She believes that she experiences auditory hallucinations when she awakens. E) Her sleep latency is normally around 1 hour.
After performing a vaginal exam, the nurse determines that a client is in the second stage of labor. The situation that best confirms the nurse's judgment is when the woman's
a. cervix is completely dilated b. contractions are every 3 minutes lasting 60 seconds c. fetal head is engaged d. membranes have ruptured
The nurse is planning care for a patient at risk for pressure ulcer development. What should the nurse include in this patient's plan of care?
Select all that apply. 1. Initiate a frequent toileting schedule. 2. Turn the patient every 2 hours. 3. Massage pressure areas with lotion every 4 hours. 4. Use inflatable donut rings to reduce pressure on the sacrum. 5. Use hot water to cleanse the skin immediately after incontinence.
The nurse is caring for a client who says, "This is how we've always done it." The best interpretation of this is that the client
a. is describing a cul-tural tradition c. does not want new information b. is being resistant d. has no need for new information