A nurse is collecting data from an adolescent client who takes digoxin.
The nurse should monitor the client for which of the following adverse effects?

Yellow Sclera.

Blurred vision.

Frequent swallowing.

Bleeding gums.

Answer and Explanation

The Correct Answer is B

Blurred vision is a common adverse effect of digoxin that affects the eyes and the central nervous system. It can also cause yellow or green vision, halos around lights, and night blindness.

Choice A is wrong because yellow sclera is not an adverse effect of digoxin. It can be a sign of jaundice or liver disease.

Choice C is wrong because frequent swallowing is not an adverse effect of digoxin.

It can be a sign of dysphagia or throat irritation.

Choice D is wrong because bleeding gums is not an adverse effect of digoxin. It can be a sign of gingivitis or coagulation disorder.

Other adverse effects of digoxin include nausea, vomiting, diarrhea, lower stomach pain, dizziness, drowsiness, headache, weakness, confusion, depression, anxiety, hallucinations, expressed fear of impending death, rash, weight loss, loss of appetite, and various cardiac arrhythmias.

Some of these effects can indicate digoxin toxicity and require immediate medical attention.

Normal ranges for serum digoxin levels are 0.5 to 2 ng/mL for adults and 0.8 to 2 ng/mL for children.

Serum digoxin levels should be monitored regularly to avoid overdose or underdose.

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Correct Answer is B

Explanation

Verapamil is a calcium channel blocker that can lower blood pressure and cause dizziness or fainting, especially when standing up from a sitting or lying position. Changing positions slowly can help prevent these symptoms.

Choice A is wrong because palpitations are not an expected side effect of verapamil, but rather a sign of a possible overdose or a serious heart problem that requires medical attention.

Choice C is wrong because verapamil should be taken with food or milk to avoid stomach upset and increase absorption.

Choice D is wrong because verapamil does not cause weight loss, but rather weight gain as a possible side effect.

Increasing calorie intake is not necessary and may worsen other health conditions such as diabetes or high cholesterol.

A. History of exercise-induced asthma. B. Age 35 years. C. History of mumps. D. BMI 32.2.

Correct Answer is D

Explanation

BMI 32.2.

A high body mass index (BMI) is a major risk factor for type 2 diabetes mellitus, as it indicates overweight or obesity.

Overweight or obesity can cause insulin resistance, which means the body cells do not respond well to insulin and cannot take up glucose from the blood. This leads to high blood sugar levels and diabetes.

Choice A is wrong because history of exercise-induced asthma is not a risk factor for type 2 diabetes mellitus.

Asthma is a respiratory condition that causes inflammation and narrowing of the airways, but it does not affect the metabolism of glucose or insulin.

Choice B is wrong because age 35 years is not a risk factor for type 2 diabetes mellitus.

Although the risk of diabetes increases with age, especially after 45 years, it can also occur in younger people.

Age alone is not enough to cause diabetes.

Choice C is wrong because history of mumps is not a risk factor for type 2 diabetes mellitus.

Mumps is a viral infection that affects the salivary glands, but it does not damage the pancreas or impair insulin production.

Some other risk factors for type 2 diabetes mellitus are family history, race or ethnicity, physical inactivity, prediabetes, gestational diabetes, polycystic ovarian syndrome, and smoking.

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A nurse is collecting data from an adolescent client who takes digoxin. The nurse should monitor the client for which of the following adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new prescription for verapamil. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is collecting data for a client’s health history as well as physical examination. Which of the following information should the nurse identify as a risk factor for type 2 diabetes mellitus?

Correct Answer is D

Explanation

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A nurse is collecting data from an adolescent client who takes digoxin.
The nurse should monitor the client for which of the following adverse effects?