A provider is explaining potential side effects of digoxin. The patient would be correct if they say which statement?
"My heart rate may increase
"My vision may get blurred
may have constipation after taking this medication
My abdomen may hurt after taking this medication"
The Correct Answer is B
A) "My heart rate may increase":
Digoxin is primarily used to slow the heart rate, not increase it. One of its actions is to increase the force of contraction of the heart while slowing the conduction through the atrioventricular (AV) node, which typically leads to a decreased heart rate. An increase in heart rate would be an unusual side effect and might indicate digoxin toxicity or another underlying issue.
B) "My vision may get blurred":
A common side effect of digoxin toxicity is visual disturbances, which may include blurred vision, yellow-green halos, or other color vision abnormalities. These symptoms are often associated with elevated digoxin levels in the blood and are a hallmark sign of toxicity.
C) "I may have constipation after taking this medication":
Constipation is not a typical side effect of digoxin. While some medications may cause constipation, this is not a primary or common side effect of digoxin. If constipation occurs, it may be due to other factors, such as diet, other medications, or a comorbid condition.
D) "My abdomen may hurt after taking this medication":
Although abdominal discomfort can be a side effect of many medications, it is not a primary or typical side effect of digoxin. If the patient experiences abdominal pain, it could be related to digoxin toxicity, especially if accompanied by other symptoms like nausea, vomiting, or diarrhea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Given:
Volume of fluid: 50 mL (DSW) + 10 mL (for reconstitution) = 60 mL
Infusion time: 40 minutes
Drop factor: 15 gtt/mL
Formula:
Flow rate (gtt/min) = (Volume (mL) / Time (min)) x Drop factor (gtt/mL)
Step 1: Calculate the infusion rate in mL/min:
Infusion rate (mL/min) = Volume (mL) / Time (min)
Infusion rate (mL/min) = 60 mL / 40 min
Infusion rate (mL/min) = 1.5 mL/min
Step 2: Calculate the flow rate in gtt/min:
Flow rate (gtt/min) = Infusion rate (mL/min) x Drop factor (gtt/mL)
Flow rate (gtt/min) = 1.5 mL/min x 15 gtt/mL
Flow rate (gtt/min) = 22.5 gtt/min
Step 3: Round to the nearest whole number:
Flow rate (gtt/min) ≈ 23 gtt/min
Correct Answer is B
Explanation
Given:
Volume of fluid: 500 mL
Infusion time: 8 hours
Drop factor: 10 gtt/mL
Medication volume: 10 mL (added to the fluid)
Step 1: Calculate the total volume to be infused:
Total volume = Volume of fluid + Volume of medication
Total volume = 500 mL + 10 mL
Total volume = 510 mL
Step 2: Calculate the infusion rate in mL/hr:
Infusion rate (mL/hr) = Total volume (mL) / Infusion time (hr)
Infusion rate (mL/hr) = 510 mL / 8 hr
Infusion rate (mL/hr) = 63.75 mL/hr
Step 3: Calculate the infusion rate in gtt/min:
Infusion rate (gtt/min) = Infusion rate (mL/hr) x Drop factor (gtt/mL) / 60 min/hr
Infusion rate (gtt/min) = 63.75 mL/hr x 10 gtt/mL / 60 min/hr
Infusion rate (gtt/min) = 10.625 gtt/min
Step 4: Round to the nearest whole number:
Infusion rate (gtt/min) ≈ 11 gtt/min
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