A nurse in a clinic is caring for an older adult client.
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
The Correct Answer is []
Digoxin Toxicity: The client’s symptoms (nausea, vomiting, diarrhea, weakness), vital signs (bradycardia), and lab results (high digoxin level, low potassium and magnesium) suggest digoxin toxicity.
Cardiac Monitor: To detect any arrhythmias resulting from digoxin toxicity.
Icterus: To assess liver function, which could be impacted in severe toxicity.
Electrolytes: Imbalances in potassium and magnesium can worsen digoxin toxicity and need to be corrected.
Fever: The fever might indicate an infection or inflammatory process, which can affect treatment and recovery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["100"]
Explanation
- First, determine the total volume to be infused: 50 mL.
- Next, calculate the time in hours: 30 minutes is 0.5 hours.
50/0.5
= 100mL/hr
Correct Answer is B
Explanation
A. Fluids should not be restricted; adequate hydration is necessary to help flush the contrast dye used during the procedure out of the client's system.
B. Performing neurovascular checks with vital signs is essential to monitor for complications such as bleeding, hematoma, or compromised circulation to the extremity.
C. The client should avoid range-of-motion exercises to the lower extremities immediately following the procedure to prevent disruption of the femoral artery site.
D. The client should remain on bed rest for several hours following the procedure to reduce the risk of bleeding at the catheter insertion site.
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