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

Answer and Explanation

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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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The guardian's observation about the child being withdrawn since the switch of daycare providers is particularly important.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.

A. A client who has a femur fracture and reports numbness of the toes B. A client who has cirrhosis and severe pruritus C. A client who had a laparoscopic appendectomy 8 hr. ago and is awaiting discharge D. A client who had a renal biopsy 3 hr. ago and has pink-tinged urine

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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