Which of the following would Nurse Tony supposed to regard as a cardinal manifestation or symptom of digoxin toxicity to his patient Clay diagnosed with heart failure?

Constipation

Respiratory distress

Headache

Extreme Bradycardia

Answer and Explanation

The Correct Answer is D

Digoxin is a medication commonly used to treat heart failure and certain heart rhythm disorders. However, it has a narrow therapeutic window, and digoxin toxicity can occur if the drug accumulates in the body to excessive levels. One of the hallmark signs of digoxin toxicity is severe bradycardia, which means an abnormally slow heart rate. Bradycardia can result from the effects of digoxin on the electrical conduction system of the heart, leading to an irregular or slowed heartbeat.

While other symptoms can occur in digoxin toxicity, such as gastrointestinal symptoms (like nausea and vomiting), neurological symptoms (like confusion and visual disturbances), and even respiratory distress in severe cases, extreme bradycardia is a key and often life-threatening sign that requires immediate medical attention.

Constipation (A) and headache (C) can also occur as side effects of digoxin but are less specific to digoxin toxicity and may not be considered cardinal manifestations.

Respiratory distress (B) may occur if the bradycardia leads to inadequate cardiac output, causing pulmonary congestion, but it is not a primary or cardinal symptom of digoxin toxicity. Extreme bradycardia is typically the more immediate and prominent concern.

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Correct Answer is ["A","E"]

Explanation

The findings that indicate a diagnosis of Acute Kidney Injury (AKI) in a 5-year-old patient are:

A. Peripheral Edema: Peripheral edema, or swelling in the extremities, can be a sign of fluid retention due to impaired kidney function in AKI.

E. Oliguria: Oliguria, which is a decreased urine output, is a common sign of AKI. It can be defined as a urine output of less than 0.5 mL/kg/hour in children.

The other findings mentioned (B, C, and D) do not specifically indicate a diagnosis of AKI:

B. Blood pressure of 112/70: The blood pressure within this range is not necessarily indicative of AKI on its own.

C. Potassium level of 4.7 (normal: 3.5-5.0 mmol/L): While abnormal potassium levels can be associated with AKI, a potassium level of 4.7 mmol/L is within the normal range.

D. Diarrhea: Diarrhea is not typically a direct symptom of AKI but may be seen in various other conditions or as a result of electrolyte imbalances associated with kidney dysfunction.

A. Hepatitis B vaccine B. Straight Catheterization C. Hearing screening D. Circumcision

Correct Answer is D

Explanation

Hypospadias is a congenital condition where the opening of the urethra is located on the underside of the penis instead of the tip. Circumcision is contraindicated in infants with hypospadias because the foreskin may be used for surgical repair in some cases. The urologist may need to use the foreskin tissue for reconstructive surgery to correct the hypospadias, making circumcision inappropriate at this time.

The other options are appropriate:

A. Hepatitis B vaccine: Vaccination is important for the prevention of infectious diseases.

B. Straight catheterization: This may be necessary for medical evaluation or management but should be done as indicated by the medical team.

C. Hearing screening: Hearing screening is a routine evaluation for newborns and infants to identify hearing problems early.

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Which of the following would Nurse Tony supposed to regard as a cardinal manifestation or symptom of digoxin toxicity to his patient Clay diagnosed with heart failure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 5-year-old patient is brought into the Emergency Room and is diagnosed with an Acute Kidney injury (AKI). Which findings indicate this diagnosis?

Correct Answer is ["A","E"]

Explanation

A nurse on a mother-baby unit is caring for a 2-day-old baby boy. The patient was seen by a urologist at 0000 and was diagnosed with hypospadias, Which order by the pediatrician is contraindicated?

Correct Answer is D

Explanation

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