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 A

Explanation

Choice A rationale
A high-purine diet is a known risk factor for urolithiasis (kidney stones). Purines are broken down into uric acid, which can form crystals and stones in the kidneys.
Choice B rationale
Low levels of serum calcium are not a risk factor for urolithiasis. In fact, high levels of calcium in the urine (hypercalciuria) are more commonly associated with kidney stones.
Choice C rationale
Female gender is not a significant risk factor for urolithiasis. Men are generally more likely to develop kidney stones than women.

Choice D rationale
Drinking large quantities of fluids is not a risk factor for urolithiasis. In fact, adequate hydration is recommended to help prevent the formation of kidney stones.

A. BUN 45 mg/dL, serum creatinine 1.0 mg/dL. B. BUN 11 mg/dL, serum creatinine 10 mg/dL. C. BUN 35 mg/dL, serum creatinine 8 mg/dL. D. BUN 10 mg/dL, serum creatinine 0.3 mg/dL.

Correct Answer is C

Explanation

Choice A rationale
A BUN level of 45 mg/dL is elevated, indicating impaired kidney function. However, a serum creatinine level of 1.0 mg/dL is within the normal range, which is not consistent with chronic kidney disease.
Choice B rationale
A BUN level of 11 mg/dL is within the normal range, but a serum creatinine level of 10 mg/dL is significantly elevated, indicating severe kidney dysfunction. This combination is not typical for chronic kidney disease.
Choice C rationale
A BUN level of 35 mg/dL and a serum creatinine level of 8 mg/dL are both elevated, indicating impaired kidney function. These values are consistent with chronic kidney disease.
Choice D rationale
A BUN level of 10 mg/dL and a serum creatinine level of 0.3 mg/dL are both within the normal range, which is not consistent with chronic kidney disease.

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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

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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