A nurse is reinforcing teaching with a client who is starting digoxin therapy to treat heart failure. The nurse should reinforce with the client that which of the following adverse effects is a possible indication of digoxin toxicity and should be reported to the provider?
Blurry vision
Tinnitus
Joint pain
Constipation
The Correct Answer is A
Choice A Reason:
Digoxin can produce alterations in the visual system of patients, such as reduced visual acuity, photophobia, and blurred or yellow vision.
Choice B Reason:
While tinnitus can occur with various medications, it's not a specific symptom of digoxin toxicity.
Choice C Reason:
Joint pain is incorrect. Joint pain is not a common symptom of digoxin toxicity.
Choice D Reason:
Constipation is incorrect. Constipation is not typically associated with digoxin toxicity either.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The guardian's observation about the child being withdrawn since the switch of daycare providers is particularly important. It suggests a change in behavior that could potentially indicate emotional or social difficulties.
The nurse should explore this further to gather more information and assess the child's well-being in the new daycare setting. It is essential to ensure the child's emotional health and address any potential issues that may be affecting their well-being and development.
Correct Answer is A
Explanation
Choice A Reason:
A client who has a femur fracture and reports numbness of the toes. In the given scenario, the nurse should prioritize seeing the client with a femur fracture who reports numbness of the toes. Numbness in the toes may indicate compromised circulation or nerve damage, which can be a serious complication of a femur fracture. Addressing this issue promptly is crucial to prevent further complications.
Choice B Reason:
A client with cirrhosis and severe pruritus, while uncomfortable, does not require immediate intervention in the same way that a potential circulation issue does.
Choice C Reason:
A client who had a laparoscopic appendectomy 8 hours ago and is awaiting discharge is likely stable and not in immediate distress. The nurse can see this client after addressing the more urgent situation.
Choice D Reason:
A client who had a renal biopsy 3 hours ago and has pink-tinged urine should be monitored closely for signs of bleeding, but the issue is not as urgent as the potential nerve or circulation problem in the client with a femur fracture and numbness of the toes.
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