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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A dilated appearance of the graft is not a normal finding and could indicate complications like graft stenosis or failure.
B. A palpable thrill over the graft site indicates good blood flow and is a sign of adequate circulation. The thrill is the vibration caused by the turbulent flow of blood through the graft, which is a positive finding.
C. The presence of a bruit (a whooshing sound heard with a stethoscope) is also indicative of adequate circulation and is often expected with an arteriovenous graft. The absence of a bruit would be concerning.
D. While normotensive blood pressure is important, it does not directly assess the adequacy of circulation in the graft. A palpable thrill is a more specific indicator of graft function.
Correct Answer is B
Explanation
A. A 25-gauge saline lock is too small for administering fresh frozen plasma. Plasma should be transfused through a larger gauge catheter (typically 18 or 20 gauge) to ensure proper flow and minimize complications.
B. Fresh frozen plasma should be administered as soon as possible after thawing, typically within 30 minutes to 1 hour, to maintain its efficacy and avoid bacterial growth.
C. Fresh frozen plasma should not be transfused over 4 hours. It is usually given within 1 to 2 hours to minimize the risk of bacterial contamination and ensure proper clotting factor effectiveness.
D. Holding the transfusion if the client is actively bleeding is not appropriate. In fact, fresh frozen plasma is often administered to clients who are actively bleeding or who have clotting disorders to replace deficient clotting factors.
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