A nurse is preparing to administer digoxin to a client who has left-sided heart failure.
Which of the following clinical manifestations should the nurse expect to see in this client? (Select all that apply.).

Gastrointestinal bloating.

Jugular vein distention.

Tachycardia.

Orthopnea.

Dyspnea.

Answer and Explanation

Correct Answer : C,D,E

Choice A rationale:

Gastrointestinal bloating is not a typical clinical manifestation of left-sided heart failure. Left-sided heart failure primarily affects the pulmonary circulation, leading to symptoms such as dyspnea and orthopnea, but not gastrointestinal symptoms.

Choice B rationale:

Jugular vein distention is more commonly associated with right-sided heart failure. In left-sided heart failure, the congestion typically occurs in the pulmonary circulation, leading to respiratory symptoms, whereas jugular vein distention is a sign of elevated central venous pressure often seen in right-sided heart failure.

Choice C rationale:

Tachycardia is a common clinical manifestation of left-sided heart failure. As the heart struggles to pump blood effectively, it compensates by increasing the heart rate to maintain cardiac output.

Choice D rationale:

Orthopnea is a classic symptom of left-sided heart failure. Clients with left-sided heart failure often experience difficulty breathing when lying flat and find relief when sitting upright. This is due to the redistribution of blood in the lungs when changing positions.

Choice E rationale:

Dyspnea is another hallmark symptom of left-sided heart failure. It is caused by the accumulation of fluid in the lungs (pulmonary edema) due to the impaired ability of the left ventricle to effectively pump blood, leading to congestion in the pulmonary circulation.

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Correct Answer is A

Explanation

Choice A rationale:

Bananas are a good source of potassium, and the client's serum potassium level is low (3.1 mEq/L). Including potassium-rich foods like bananas in the diet can help raise the potassium level and prevent hypokalemia, which is a potential side effect of furosemide (a diuretic).

Choice B rationale:

Cheddar cheese is not a suitable choice for a client with low potassium levels. It is not a significant source of potassium and should not be the primary recommendation for addressing hypokalemia.

Choice C rationale:

Cabbage is not a good choice for increasing potassium intake. While it has some potassium, other fruits and vegetables like bananas are much richer sources of this essential electrolyte.

Choice D rationale:

White rice is not a high-potassium food and should not be the first choice for a client with low potassium levels.

A. "Lifelong treatment with this medication is necessary.”. B. "The medication causes amenorrhea if taken along with an oral contraceptive.”. C. "You should wear glasses instead of contacts while taking this medication.”. D. "A yellow tint to the skin is an expected reaction to the medication.”.

Correct Answer is A

Explanation

Choice A rationale:

The nurse should include the statement, "Lifelong treatment with this medication is necessary.”. This is because rifampin is often part of a multidrug regimen used to treat tuberculosis, and treatment typically lasts for several months, sometimes up to a year. It is crucial for the client to understand the need for long-term treatment to ensure the successful eradication of the tuberculosis bacteria from their system.

Choice B rationale:

The statement, "The medication causes amenorrhea if taken along with an oral contraceptive," is not accurate. Rifampin is known to interact with oral contraceptives, decreasing their effectiveness, but it does not directly cause amenorrhea. The correct teaching should focus on the need for alternative or additional contraceptive methods while taking rifampin.

Choice C rationale:

The statement, "You should wear glasses instead of contacts while taking this medication," is not directly related to rifampin. Rifampin can cause certain ocular side effects, but it does not necessarily require the client to switch from contacts to glasses. This advice would depend on the individual's eye health and any specific concerns.

Choice D rationale:

The statement, "A yellow tint to the skin is an expected reaction to the medication," is incorrect. While rifampin can cause a harmless side effect of orange-red discoloration of body fluids, such as urine, sweat, and tears, it does not typically cause a yellow tint to the skin. The nurse should clarify this misconception with the client.

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A nurse is preparing to administer digoxin to a client who has left-sided heart failure.Which of the following clinical manifestations should the nurse expect to see in this client? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who takes furosemide and has a serum potassium level of 3.1 mEq/L. Which of the following foods should the nurse instruct the client to include in his daily diet?

Correct Answer is A

Explanation

A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis.Which of the following statements should the nurse include in the teaching?

Correct Answer is A

Explanation

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A nurse is caring for a client who has tuberculosis and is about to start taking pyrazinamide.The nurse should identify that the client needs which of the following tests while taking this medication therapy?

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A nurse is reviewing a client's laboratory results. Which of the following findings should the nurse report to the provider?

A nurse is caring for a client who has a prescription for clopidogrel. Which of the following actions should the nurse plan to take?

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A nurse is preparing to administer digoxin to a client who has left-sided heart failure.
Which of the following clinical manifestations should the nurse expect to see in this client? (Select all that apply.).