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A nurse is collecting data from a client prior to the administration of digoxin. Which of the following findings should the nurse report to the provider?

Potassium level of 3.0 mEq/L

Heart rate of 66/min

BP of 132/82 mm Hg

Digoxin level of 1.2 ng/ml

Answer and Explanation

The Correct Answer is A

a. Potassium level of 3.0 mEq/L: Hypokalemia is a potential adverse effect of digoxin, and a

potassium level of 3.0 mEq/L is below the normal range. Low potassium levels can increase the risk of digoxin toxicity.

b. Heart rate of 66/min: A heart rate of 66/min is within the normal range. Digoxin is used to

treat conditions like atrial fibrillation, and the heart rate should be within an appropriate range for the client's condition.

c. BP of 132/82 mm Hg: Blood pressure within the normal range does not require immediate reporting in the context of digoxin administration.

d. Digoxin level of 1.2 ng/ml: The digoxin level of 1.2 ng/ml is within the therapeutic range, and it does not require immediate reporting.

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Correct Answer is D

Explanation

a. Encourage the client to take small bites: While encouraging small bites is important, the priority for a client with dysphagia is to ensure they are in an upright position to prevent aspiration.

b. Place food in the unaffected side of the mouth: Placing food in the unaffected side of the mouth may not prevent aspiration and does not address the priority of positioning.

c. Offer mouth care before meals: While oral hygiene is important, it is not the priority when addressing the risk of aspiration during feeding.

d. Place the client in the upright position: The upright position helps prevent aspiration during swallowing, which is crucial for clients with dysphagia.

A. "The pain radiates down to my lower back." B. "I feel so much better after eating." C. "My pain is relieved by having a bowel movement." D. "The pain is worse after I eat a meal high in fat."

Correct Answer is D

Explanation

a. "The pain radiates down to my lower back." This statement is not typical of peptic ulcer

disease. Radiation of pain to the lower back may suggest other abdominal or musculoskeletal issues.

b. "I feel so much better after eating." Relief of pain after eating is more indicative of gastric ulcer rather than peptic ulcer disease. Peptic ulcers are often associated with pain that worsens after eating.

c. "My pain is relieved by having a bowel movement." Relief of pain with bowel movements is

not a characteristic finding of peptic ulcer disease. This may suggest other gastrointestinal issues.

d. "The pain is worse after I eat a meal high in fat." This statement is consistent with peptic ulcer disease. High-fat meals stimulate gastric acid secretion, potentially exacerbating the pain

associated with peptic ulcers.

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A nurse is collecting data from a client prior to the administration of digoxin. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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