Patient Data

Exhibits

Which of the following findings should the nurse recognize as manifestations of digoxin toxicity? (Select all that apply.)

Nausea and vomiting

Fatigue and weakness

Bradycardia

Visual disturbances (e.g., yellow-green halos)

Hypertension

Answer and Explanation

Correct Answer : A,B,C,D

A. Nausea and vomiting: Gastrointestinal symptoms such as nausea, vomiting, and anorexia are common early signs of digoxin toxicity and should be closely monitored.

B. Fatigue and weakness: Generalized fatigue and muscle weakness can result from digoxin toxicity due to its effects on cardiac output and electrolyte imbalances, indicating early toxicity.

C. Bradycardia: Digoxin increases vagal tone, which can lead to bradycardia. A heart rate below 60 bpm is a key warning sign of digoxin toxicity.

D. Visual disturbances (e.g., yellow-green halos): Visual changes, including blurred vision, yellow-green halos, or altered color perception, are classic manifestations of digoxin toxicity and require prompt recognition.

E. Hypertension: Hypertension is not typically associated with digoxin toxicity; digoxin more commonly causes bradyarrhythmias and hypotension rather than elevated blood pressure.

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Correct Answer is A

Explanation

A. Argumentativeness and use of profanity: These behaviors may indicate escalating agitation and a risk for violence. Monitoring for verbal aggression is essential because it can quickly progress to physical aggression, making safety the priority concern.

B. Periodic sighing and shaking the head: These are signs of frustration or discouragement but are less concerning than overt verbal aggression. They do not immediately signal a risk of harm to others.

C. Decreased activity level and change in affect: A decline in activity or affect may suggest depression or withdrawal but does not indicate an acute risk of violent escalation like pacing and scowling combined with verbal aggression.

D. Repeated requests for attention from the nurse: Frequent requests may reflect anxiety or dependency but do not typically indicate imminent aggression. While they should be addressed, they are not the most critical behaviors to monitor in this scenario.

A. Obtain blood glucose level. B. Draw insulin into insulin syringe. C. Verify the insulin prescription. D. Cleanse the selected site.

Correct Answer is ["A","B","C","D"]

Explanation

A. Obtain blood glucose level: The first step is to check the client’s blood glucose so the correct insulin dose can be determined according to the sliding scale prescription. Without this value, safe and accurate dosing cannot be achieved.

B. Draw insulin into insulin syringe: After verifying the prescription, the correct amount of insulin is drawn up. This ensures accuracy and avoids delays once the injection site has been prepared, maintaining sterility and efficiency.

C. Verify the insulin prescription: Before drawing up the insulin, the nurse or client must compare the blood glucose result with the sliding scale prescription to determine the exact dose required. This prevents medication errors and ensures correct administration.

D. Cleanse the selected site: The last step before injection is cleansing the skin with an alcohol swab. This minimizes infection risk and prepares the area for insulin administration after the correct dose has been measured.

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Patient Data Exhibits Which of the following findings should the nurse recognize as manifestations of digoxin toxicity? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

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Explanation

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Patient Data

Exhibits

Which of the following findings should the nurse recognize as manifestations of digoxin toxicity? (Select all that apply.)