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?
“My tongue is red and beefy.”.
“I am constipated.”.
“My vision seems yellow.”.
“I am gaining weight.”.
The Correct Answer is C
Choice A rationale
A red and beefy tongue is not a symptom of digoxin toxicity. This symptom is more commonly associated with vitamin B12 deficiency or other nutritional deficiencies.
Choice B rationale
Constipation is not a typical symptom of digoxin toxicity. Digoxin toxicity primarily affects the gastrointestinal system with symptoms such as nausea, vomiting, and diarrhea, rather than causing constipation.
Choice C rationale
Yellow vision, or xanthopsia, is a classic symptom of digoxin toxicity. Digoxin can cause visual disturbances, including seeing halos around lights and a yellow tint to vision, due to its effects on the optic nerve.
Choice D rationale
Gaining weight is not a symptom of digoxin toxicity. Weight gain is more commonly associated with fluid retention in conditions such as heart failure, which digoxin is used to treat.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
Cheyne-Stokes breathing is characterized by a pattern of periodic breathing with cycles of increasing and decreasing tidal volumes separated by periods of apnea. It is not typically associated with diabetic ketoacidosis (DKA) but rather with conditions such as heart failure, stroke, or brain injury.
Choice B rationale
Malignant hypertension is a severe form of high blood pressure that can lead to organ damage. It is not a typical finding in diabetic ketoacidosis. DKA is more commonly associated with dehydration, electrolyte imbalances, and metabolic acidosis.
Choice C rationale
An acetone odor to the breath is a classic sign of diabetic ketoacidosis. This occurs due to the accumulation of ketones in the blood, which are byproducts of fat metabolism when the body is unable to use glucose for energy.
Choice D rationale
Blood glucose levels below 40 mg/dL indicate hypoglycemia, not diabetic ketoacidosis. DKA is characterized by high blood glucose levels, typically above 250 mg/dL34.
Correct Answer is C
Explanation
Choice A rationale
A serum creatinine test does not inform the provider about anemia. Anemia is typically diagnosed through a complete blood count (CBC) test, which measures the levels of hemoglobin and hematocrit in the blood.
Choice B rationale
A serum creatinine test does not provide information about infections. Infections are usually diagnosed through clinical evaluation and specific tests such as blood cultures, urine cultures, or imaging studies.
Choice C rationale
A serum creatinine test measures the level of creatinine in the blood, which is an indicator of kidney function. Elevated creatinine levels can indicate impaired kidney function or kidney disease.
Choice D rationale
A serum creatinine test does not provide information about thyroid disorders. Thyroid function is typically assessed through tests that measure levels of thyroid hormones (T3 and T4) and thyroid-stimulating hormone (TSH) in the blood.
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