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
While reviewing stress factors is important, it is not the priority action during an acute exacerbation of ulcerative colitis. The immediate concern is to address the physical symptoms and stabilize the patient.
Choice B rationale
Evaluating fluid and electrolyte levels is the priority action because acute exacerbations of ulcerative colitis can lead to significant fluid loss and electrolyte imbalances. Prompt assessment and correction of these imbalances are crucial for patient stability.
Choice C rationale

Promoting physical mobility is important for overall health but is not the priority during an acute exacerbation. The focus should be on managing the acute symptoms and stabilizing the patient.
Choice D rationale
Providing emotional support is important but is not the priority action during an acute exacerbation. The immediate concern is to address the physical symptoms and stabilize the patient.

Choice A rationale
A high-purine diet can lead to the formation of uric acid stones, which are a type of kidney stone. However, it is not the most common risk factor for urolithiasis. Urolithiasis is more commonly associated with factors such as dehydration, which leads to concentrated urine and promotes stone formation.
Choice B rationale
Female gender is not a significant risk factor for urolithiasis. In fact, men are more likely to develop kidney stones than women. The higher incidence in men is thought to be related to differences in diet, fluid intake, and urinary tract anatomy.

Choice C rationale
Dehydration is a major risk factor for urolithiasis. When the body is dehydrated, urine becomes more concentrated, which increases the likelihood of stone formation. Adequate hydration helps to dilute the urine and reduce the risk of stone formation.
Choice D rationale
Family history is a known risk factor for urolithiasis. Individuals with a family history of kidney stones are more likely to develop them due to genetic predispositions that affect factors such as urine composition and kidney function.