The nurse is teaching a patient about digoxin. The nurse would evaluate the patient as understanding the teaching if the patient made which of these statements? Select all that apply.

The resting heart rate increases when digoxin is taken."

"Digoxin raises blood pressure."

"Digoxin slows the heart rate."

The force of heart contractions is increased with digoxin."

"Digoxin decreases ectopic beats."

Answer and Explanation

Correct Answer : C,D,E

A.   Digoxin typically decreases the heart rate by increasing vagal tone and reducing conduction through the atrioventricular node.
B.   Digoxin may have minimal effects on blood pressure, primarily by improving cardiac output in patients with heart failure, but its primary action is on cardiac contractility and rhythm.
C.   Digoxin has a negative chronotropic effect, meaning it slows the heart rate by increasing parasympathetic tone and decreasing conduction through the atrioventricular node.
D.   Digoxin has a positive inotropic effect, meaning it increases the force of cardiac contractions, which can be beneficial in patients with heart failure.
E.   Digoxin can suppress ectopic beats (abnormal heart rhythms originating outside the sinoatrial node) by slowing conduction through the atrioventricular node and enhancing vagal tone

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

Bleeding: The client's platelet count has dropped from 160,000/mm³ to 100,000/mm³, which is below the normal range (150,000 to 400,000/mm³). Platelets are essential for blood clotting, and a low count increases the risk of bleeding. Additionally, the prolonged PT (13.5 seconds) and elevated INR (2.2) further indicate a tendency toward bleeding.

Infection: The client's WBC count remains elevated at 15,500/mm³, which can be indicative of ongoing infection or inflammation. Patients with acute leukemia often have dysfunctional white blood cells, which impairs their ability to fight infections effectively.

A. Sanguineous B. Purulent C. Serous D. Serosanguineous

Correct Answer is B

Explanation

A. Sanguineous drainage is typically bright red and composed mainly of red blood cells. It is common immediately after surgery but does not typically indicate infection.
B. Purulent drainage is thick, yellow, or greenish in color and contains pus, indicating infection. It requires prompt assessment and intervention.
C. Serous drainage is clear, watery, and pale yellow in color. It is typically a normal finding in surgical wounds.
D. Serosanguineous drainage is pink to pale red and contains a mixture of blood and serum. It is common in the early stages of wound healing.

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The nurse is teaching a patient about digoxin. The nurse would evaluate the patient as understanding the teaching if the patient made which of these statements? Select all that apply.

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record for a client who has acute leukemia Exhibits Select words from the choices to fill in each blank in the following sentence The client is at risk for developing and

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse suspects the client's wound is infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as the type of drainage found?

Correct Answer is B

Explanation

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