A nurse is providing discharge teaching for a client who has heart failure and is to start therapy with digoxin. Which of the following statements by the client indicates an understanding of the teaching?
"I will notify my provider if I experience muscle weakness."
"I will take this medication with fiber to prevent constipation."
"I will increase my dose if my vision becomes blurred."
"I will take my digoxin if my pulse is less than 50 beats per minute."
The Correct Answer is A
A. Muscle weakness can be a sign of digoxin toxicity, especially if it is accompanied by other symptoms like nausea, vomiting, or blurred vision. The client should notify the provider immediately if these symptoms occur.
B. Taking digoxin with fiber is not necessary and may interfere with its absorption. The client should take digoxin on an empty stomach, or as directed by the provider, but not specifically with fiber to prevent constipation.
C. Increasing the dose of digoxin if the client experiences blurred vision could be dangerous. Blurred vision is actually a symptom of digoxin toxicity, and the client should not increase the dose but should notify the provider immediately.
D. The nurse should advise the client to hold the digoxin if their pulse is less than 60 beats per minute (not 50), as this could indicate bradycardia caused by digoxin. The client should contact their provider before taking the medication if their pulse is too low.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While monitoring the client's temperature is important, it is not the highest priority immediately following sedation.
B. The gag reflex is a critical assessment after moderate sedation, especially following procedures like endoscopy, as it ensures that the client can protect their airway and swallow safely. If the gag reflex is not intact, there is a risk of aspiration or airway obstruction.
C. Warmth of extremities is an important sign of circulation, but it is not as critical as the gag reflex after a procedure involving sedation and airway manipulation.
D. Level of pain is important, but it is secondary to ensuring that the client’s airway is protected. Pain management can be addressed once the client's airway and safety are ensured.
Correct Answer is C
Explanation
A. Monitoring the client for 15 minutes after receiving each medication dose is typically done for certain medications like vaccines or immunotherapy, but not for the treatment of syphilis. The treatment for primary syphilis is usually penicillin, and there is no need for extended observation unless the client has an allergy or reaction.
B. Antiviral medications are not used to treat syphilis. Syphilis is treated with antibiotics, usually penicillin.
C. Follow-up blood tests are necessary to ensure the syphilis infection has been successfully treated and to monitor for any potential recurrence. Clients with syphilis should have follow-up blood tests at 6, 12, and 24 months after treatment.
D. Cryotherapy is not used to treat syphilis. The primary treatment for syphilis is antibiotic therapy, specifically penicillin, and cryotherapy is typically used for conditions like warts or certain types of lesions, not syphilis.
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