A nurse is collecting data from an older adult client who has been taking digoxin for the past several months. For which of the following manifestations of digoxin toxicity should the nurse monitor?

Hearing deficits

Jaundice

Anorexia

Ataxia

Answer and Explanation

The Correct Answer is C

Choice A reason: Hearing deficits are not commonly associated with digoxin toxicity. The typical symptoms involve gastrointestinal, neurological, and visual changes³.

Choice B reason: Jaundice is not a manifestation of digoxin toxicity. It is more commonly related to liver conditions³.

Choice C reason: Anorexia is a common symptom of digoxin toxicity, along with nausea, vomiting, and abdominal pain. These gastrointestinal symptoms are important indicators for nurses to monitor³.

Choice D reason: Ataxia, or lack of muscle coordination, is not a typical sign of digoxin toxicity. The primary concerns with toxicity are cardiac arrhythmias and gastrointestinal symptoms³.

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Correct Answer is B

Explanation

Choice A reason: Interrupted electrical activity to areas of the heartWhen it comes to the pain associated with coronary artery disease (CAD), interrupted electrical activity is not the primary cause. While abnormal electrical activity can lead to arrhythmias, it is not the primary source of pain in CAD. The pain in CAD is primarily related to inadequate blood flow and oxygen supply to the heart muscle.

Choice B reason: Lack of sufficient oxygen to the myocardiumThis is the correct answer. Coronary artery disease results in the narrowing or blockage of coronary arteries, which supply oxygen-rich blood to the heart muscle. When these arteries become narrowed due to plaque buildup (atherosclerosis), the heart muscle does not receive enough oxygen. This insufficient oxygen supply leads to chest pain (angina) and discomfort.

Choice C reason: Increased cardiac workloadWhile increased cardiac workload can contribute to heart-related symptoms, it is not the primary cause of pain in coronary artery disease. Increased workload may occur during physical exertion or stress, but the underlying issue in CAD is the reduced blood flow due to narrowed or blocked arteries.

Choice D reason: Lack of nutrients into the heartWhile nutrients are essential for overall heart health, the primary concern in coronary artery disease is the lack of oxygen supply. The pain associated with CAD is primarily related to inadequate oxygen delivery to the heart muscle, not specifically a lack of nutrients.

A. "Oh, I'm so pleased that you finally put on clean clothes." B. "Why did you wear clean clothes and comb your hair today?" C. "I see that you have on clean clothes and have combed your hair." D. "That's good. You have on clean clothes and have combed your hair."

Correct Answer is C

Explanation

Choice A reason: This statement is not appropriate as it may sound condescending and does not acknowledge the client's effort in a respectful manner.

Choice B reason: This question could be perceived as intrusive and might make the client feel defensive about their self-care activities.

Choice C reason: This response is appropriate as it is a neutral observation that acknowledges the client's effort without making judgments or assumptions.

Choice D reason: While this statement is positive, it may not be the best choice as it could be interpreted as patronizing rather than a simple acknowledgment.

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A nurse is collecting data from an older adult client who has been taking digoxin for the past several months. For which of the following manifestations of digoxin toxicity should the nurse monitor?

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Naxlex Comprehensive Predictor Exams

The nurse is reinforcing teaching to the patient about the cause of pain from coronary artery disease. The nurse would evaluate the patient as understanding the education if the patient stated which of the following causes the pain from coronary artery disease?

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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