A nurse in a clinic is caring for a client who has heart failure and is taking digoxin. Which of the following statements by the client indicates the client is experiencing digoxin toxicity?

“My tongue is red and beefy.”.

“I am constipated.”.

“My vision seems yellow.”.

“I am gaining weight.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale
A red and beefy tongue is not a symptom of digoxin toxicity. This symptom is more commonly associated with vitamin B12 deficiency or other nutritional deficiencies.
Choice B rationale

Constipation is not a typical symptom of digoxin toxicity. Digoxin toxicity primarily affects the gastrointestinal system with symptoms such as nausea, vomiting, and diarrhea, rather than causing constipation.
Choice C rationale
Yellow vision, or xanthopsia, is a classic symptom of digoxin toxicity. Digoxin can cause visual disturbances, including seeing halos around lights and a yellow tint to vision, due to its effects on the optic nerve.
Choice D rationale
Gaining weight is not a symptom of digoxin toxicity. Weight gain is more commonly associated with fluid retention in conditions such as heart failure, which digoxin is used to treat.

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Correct Answer is D

Explanation

Choice A rationale
Frothy sputum is more commonly associated with left-sided heart failure, where fluid backs up into the lungs. It is not a typical finding in right-sided heart failure.
Choice B rationale

Orthopnea, or difficulty breathing while lying flat, is more commonly associated with left-sided heart failure. Right-sided heart failure primarily affects the systemic circulation.
Choice C rationale
Dyspnea, or shortness of breath, can occur in both left-sided and right-sided heart failure. However, it is more prominently associated with left-sided heart failure.
Choice D rationale
Peripheral edema, or swelling in the legs and ankles, is a common finding in right-sided heart failure. It occurs due to the backup of blood in the systemic circulation, leading to fluid accumulation in the tissues.

Correct Answer is ["2"]

Explanation

Step 1 is: The prescribed dose is 100 mcg and each tablet contains 50 mcg.

Step 2 is: Divide the prescribed dose by the amount per tablet. So, 100 mcg ÷ 50 mcg/tablet. Step 3 is: The result is 2 tablets. Final calculated answer: 2 tablets.

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A nurse in a clinic is caring for a client who has heart failure and is taking digoxin. Which of the following statements by the client indicates the client is experiencing digoxin toxicity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. (Do not use a trailing zero)

Correct Answer is ["2"]

Explanation

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