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.”.

Answer and Explanation

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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Correct Answer is C

Explanation

Choice A rationale
Wearing socks on the feet is not related to hip arthroplasty recovery and does not impact the healing process.
Choice B rationale
Performing leg exercises is important for preventing blood clots and maintaining mobility after hip arthroplasty.
Choice C rationale
Avoiding crossing the legs for the first 3 months after surgery helps prevent dislocation of the hip joint and promotes proper healing.
Choice D rationale
Lying on the side of the surgery may be uncomfortable, but it is not necessarily contraindicated. Proper positioning and support can help manage discomfort. .

A. Drinking more fluid will prevent your urine from becoming brown. B. Brown-colored urine is a harmless side effect of the medication. C. The provider will change your medication because your infection is not resolving with nitrofurantoin. D. An increase of RBC destruction in your blood can result in brown-colored urine.

Correct Answer is B

Explanation

Choice A rationale
Drinking more fluid can help dilute the urine but will not prevent it from becoming brown due to the medication.
Choice B rationale
Brown-colored urine is a known harmless side effect of nitrofurantoin. It is due to the medication itself and does not indicate any harm or need for a change in treatment.
Choice C rationale
Changing the medication is not necessary unless there are other signs that the infection is not resolving. Brown-colored urine alone is not an indication of treatment failure.
Choice D rationale
An increase in RBC destruction can cause brown urine, but this is not the case with nitrofurantoin. The brown color is due to the medication and not due to RBC destruction.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge instructions to a client who is postoperative from a hip arthroplasty. Which of the following statements by the client indicates a correct understanding of the teaching?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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