A client with congestive heart failure is prescribed digoxin. The nurse should monitor the client for which common side effect of this medication?

Hypertension

Hyperkalemia

Bradycardia

Respiratory alkalosis

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because hypertension is not a common side effect of digoxin. Digoxin is used to treat heart failure and can help control blood pressure in some cases.

B) This choice is incorrect because hyperkalemia (elevated potassium levels) is not a common side effect of digoxin. In fact, digoxin can sometimes cause hypokalemia (low potassium levels) as a side effect.

C) This choice is correct. Bradycardia (slow heart rate) is a common side effect of digoxin. Digoxin works by increasing the force of the heart's contractions and can slow down the heart rate. Clients taking digoxin should have their heart rate monitored regularly, and the healthcare provider should be notified if the heart rate is below the prescribed parameters.

D) This choice is incorrect because respiratory alkalosis is not a common side effect of digoxin. Digoxin does not directly affect the respiratory system.

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Correct Answer is C

Explanation

A) This choice is incorrect because serum sodium levels are not directly impacted by digoxin. However, electrolyte imbalances, including hypokalemia, can potentiate digoxin toxicity, so potassium levels should be monitored.

B) This choice is incorrect because while digoxin can impact liver function, it is not the primary parameter to be monitored. Liver function tests may be performed periodically to assess liver health during digoxin therapy.

C) This choice is correct. Digoxin is a cardiac glycoside that can impact renal function. Monitoring urine output is essential to assess kidney function and the client's response to the medication.

D) This choice is incorrect because blood glucose levels are not specifically impacted by digoxin. However, hypokalemia resulting from digoxin therapy can cause alterations in glucose metabolism, so blood glucose levels should be monitored in clients taking digoxin.

A. Complete blood count (CBC) B. Basic metabolic panel (BMP) C. Brain natriuretic peptide (BNP) level D. C-reactive protein (CRP) level

Correct Answer is C

Explanation

A) This choice is incorrect because a complete blood count (CBC) is a general blood test that measures different components of the blood, such as red blood cells, white blood cells, and platelets. It is not specifically used to measure heart strain or diagnose CHF.

B) This choice is incorrect because a basic metabolic panel (BMP) is a blood test that measures electrolytes, kidney function, and glucose levels. It is not specific to diagnosing CHF.

C) This choice is correct. A brain natriuretic peptide (BNP) level is a blood test specifically used to measure heart strain. Elevated BNP levels can indicate heart failure, making it a valuable diagnostic tool in assessing suspected CHF.

D) This choice is incorrect because a C-reactive protein (CRP) level is a marker of inflammation and is not specific to diagnosing CHF.

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A client with congestive heart failure is prescribed digoxin. The nurse should monitor the client for which common side effect of this medication?

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Naxlex Comprehensive Predictor Exams

A client with congestive heart failure is prescribed digoxin. The nurse should monitor the client's:

Correct Answer is C

Explanation

A nurse is caring for a client with suspected congestive heart failure. Which blood test is specifically used to measure heart strain and assist in the diagnosis of CHF?

Correct Answer is C

Explanation

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