A client with congestive heart failure is prescribed digoxin. The nurse should monitor the client for which common side effect of this medication?

Hypertension

Hyperkalemia

Bradycardia

Respiratory alkalosis

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because hypertension is not a common side effect of digoxin. Digoxin is used to treat heart failure and can help control blood pressure in some cases.

B) This choice is incorrect because hyperkalemia (elevated potassium levels) is not a common side effect of digoxin. In fact, digoxin can sometimes cause hypokalemia (low potassium levels) as a side effect.

C) This choice is correct. Bradycardia (slow heart rate) is a common side effect of digoxin. Digoxin works by increasing the force of the heart's contractions and can slow down the heart rate. Clients taking digoxin should have their heart rate monitored regularly, and the healthcare provider should be notified if the heart rate is below the prescribed parameters.

D) This choice is incorrect because respiratory alkalosis is not a common side effect of digoxin. Digoxin does not directly affect the respiratory system.

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Correct Answer is C

Explanation

A) This choice is incorrect because age is a non-modifiable risk factor for congestive heart failure. While age increases the risk of heart disease, including CHF, it cannot be changed or modified.

B) This choice is incorrect because family history of heart disease is a non-modifiable risk factor. While individuals with a family history of heart disease may have an increased risk of developing CHF, it is not something that can be changed or modified.

C) This choice is correct. Smoking is a modifiable risk factor for congestive heart failure. Smoking damages blood vessels, increases blood pressure, and can lead to atherosclerosis, all of which contribute to heart failure.

D) This choice is incorrect because gender is a non-modifiable risk factor for congestive heart failure. While men may have a slightly higher risk of heart failure compared to women, gender is not something that can be changed or modified.

A. High-pitched, scratchy sound heard during inhalation B. Extra heart sound heard immediately after S1 and S2 C. Prolonged, whooshing sound heard during systole D. Irregular heart rhythm with varying intensity

Correct Answer is B

Explanation

A) This choice is incorrect because a high-pitched, scratchy sound heard during inhalation is called a pleural friction rub and is associated with pleuritis or inflammation of the pleura, not congestive heart failure.

B) This choice is correct. An S3 heart sound is an extra heart sound heard immediately after S1 and S2, often described as a "ventricular gallop." It is associated with congestive heart failure and indicates increased fluid volume and strain on the ventricles.

C) This choice is incorrect because a prolonged, whooshing sound heard during systole is a heart murmur, which can be caused by various conditions, but it is not specific to the presence of an S3 sound.

D) This choice is incorrect because an irregular heart rhythm with varying intensity is characteristic of cardiac arrhythmias or irregular heartbeats and is not specific to the presence of an S3 sound.

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A client with congestive heart failure is prescribed digoxin. The nurse should monitor the client for which common side effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting a community health education session on heart health. Which lifestyle factor should the nurse emphasize as a potential modifiable risk factor for congestive heart failure?

Correct Answer is C

Explanation

A nurse is auscultating a client's heart sounds and hears a third heart sound (S3). Which finding is consistent with the presence of an S3 sound in a client with congestive heart failure?

Correct Answer is B

Explanation

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