What should the nurse include in a client's discharge teaching when going home with a prescription for digoxin 0.125 mg by mouth once daily?

"Take the digoxin at bedtime."

"Eat a diet high in bran, fiber, and calcium."

"You must be able to check your pulse."

"Don't take digoxin if your heart rate exceeds 90 beats per minute."

Answer and Explanation

The Correct Answer is C

a) Taking digoxin at bedtime is not a critical instruction. The important aspect is to take it consistently at the same time each day.

b) A diet high in bran, fiber, and calcium is not specifically related to digoxin administration. Digoxin has specific dietary considerations related to potassium levels.

c) Checking the pulse is crucial for a client taking digoxin, as it helps monitor for potential toxicity. Digoxin can cause bradycardia, and the pulse rate is an essential parameter to assess before administering each dose.

d) While monitoring the heart rate is important, setting a specific threshold (e.g., not taking digoxin if the heart rate exceeds 90 beats per minute) is not a standard recommendation. It's generally more nuanced and individualized.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

a) The need for a gastric acid suppressor is not a common consideration when taking steroids.

b) Prolonged steroid use does not typically lead to addiction.

c) Prolonged steroid use, particularly in children, may lead to enhanced growth and potentially premature tall stature.

d) Steroids may cause weight gain rather than weight loss, and they do not typically cause type 1 diabetes.

A. Advise the client to avoid prolonged immobility and participate in exercise activities while on warfarin. B. Safe and effective warfarin therapy requires rigid adherence to the dosing schedule. C. Therapy will be evaluated by monitoring PT/INR frequently at first, then every 2-4 weeks after that. D. The client should be encouraged to use non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief while on warfarin. E. Instruct the client to avoid foods high in Vitamin K while on warfarin.

Correct Answer is ["B","C","E"]

Explanation

a) Advising the client to avoid prolonged immobility and participate in exercise activities is a general health recommendation but not specifically related to warfarin therapy.

b) Safe and effective warfarin therapy requires rigid adherence to the dosing schedule to maintain therapeutic anticoagulation levels.

c) Monitoring PT/INR frequently initially and then regularly helps assess the effectiveness and safety of warfarin therapy.

d) Encouraging the use of NSAIDs is not recommended with warfarin due to the increased risk of bleeding.

e) Instructing the client to avoid foods high in Vitamin K is important because Vitamin K can interfere with the anticoagulant effects of warfarin.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

What should the nurse include in a client's discharge teaching when going home with a prescription for digoxin 0.125 mg by mouth once daily?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is doing discharge teaching with the parent of an asthmatic child who will be going home on steroids. Which of these comments by the parent would indicate an accurate understanding of discharge teaching regarding these medications?

Correct Answer is C

Explanation

A client is started on warfarin therapy. Identify the appropriate nursing implications associated with this medication. (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A client with an infection is being treated with vancomycin. The nurse providing care reviews the client's laboratory reports and notes that the client's blood urea nitrogen (BUN) and serum creatinine levels are newly elevated. What would be the appropriate nursing intervention?

A client presents with tinea corporis, and the prescriber orders itraconazole. When educating the client about this medication, the nurse will include which statement?

A client who is receiving a final dose of intravenous cephalosporin complains of pain and irritation at the infusion site. The nurse observes signs of redness at the intravenous insertion site and along the vein. What is the nurse's action?

Which of these findings, from a client taking steroids, should the nurse report immediately?

Naloxone is effective because of which action?

Which of these situations would cause the nurse to hold a dose of morphine?

Which of these findings would cause the nurse to hold the administration of oral metoprolol 25 mg?

The nurse is educating a client regarding the use of omeprazole. What statement by the client shows a proper understanding of how to take this medication?