A nurse in a clinic is caring for a client who has heart failure and is taking digoxin. Which of the following statements by the client indicates the client is experiencing digoxin toxicity?

Choice A rationale
Using several different scales to obtain the weight is incorrect. Consistency is key when monitoring weight, especially for clients with chronic kidney disease. Using the same scale ensures that weight measurements are accurate and comparable over time. Different scales may have slight variations, leading to inconsistent and unreliable data.
Choice B rationale
Weighing at the same time each day is correct. It is important to weigh at the same time each day, preferably in the morning after voiding and before eating, to obtain consistent and accurate measurements. This helps in monitoring fluid retention and changes in body weight, which are critical for managing chronic kidney disease.
Choice C rationale
Calibrating weight scales every week is not necessary. While it is important to ensure that the scale is accurate, weekly calibration is excessive. Regular calibration according to the manufacturer’s instructions or as needed is sufficient to maintain accuracy. Over-calibration can be time-consuming and may not significantly improve measurement accuracy.
Choice D rationale
Measuring weight just prior to voiding is incorrect. Weighing after voiding provides a more accurate measurement of body weight without the influence of bladder contents. This is especially important for clients with chronic kidney disease, as fluid balance and retention are closely monitored.

Choice A rationale

COPD is incorrect. Chronic obstructive pulmonary disease (COPD) is a respiratory condition and is not a risk factor for urinary tract infections (UTIs). UTIs are typically caused by bacterial infections in the urinary tract.
Choice B rationale
Anemia is incorrect. Anemia is a condition characterized by a deficiency of red blood cells or hemoglobin. It is not a direct risk factor for UTIs. UTIs are primarily caused by bacterial infections.
Choice C rationale
Diabetes mellitus is correct. Diabetes mellitus is a significant risk factor for UTIs. High blood sugar levels can create an environment that promotes bacterial growth in the urinary tract. Additionally, individuals with diabetes may have impaired immune function, making them more susceptible to infections.
Choice D rationale
Osteoporosis is incorrect. Osteoporosis is a condition characterized by weakened bones and an increased risk of fractures. It is not a risk factor for UTIs. UTIs are primarily caused by bacterial infections in the urinary tract.