A nurse is caring for a newly admitted patient who will receive Digoxin to treat cardiac dysrhythmia.
The patient takes hydrochlorothiazide and reports regular use of OTC laxatives.
Before administering the first dose of Digoxin, the nurse will review the patient’s electrolyte levels with careful attention to which electrolytes?
Calcium and magnesium.
Potassium and chloride.
Potassium and magnesium.
Sodium and calcium.
The Correct Answer is C
Choice A rationale
Calcium and magnesium imbalances are less likely to influence Digoxin's effects compared to potassium and magnesium.
Choice B rationale
While chloride levels are important, potassium is more critical due to its significant impact on Digoxin’s action.
Choice C rationale
Correct, potassium and magnesium levels are crucial as imbalances can potentiate Digoxin toxicity or reduce its efficacy.
Choice D rationale
Sodium and calcium imbalances are less directly related to Digoxin efficacy compared to potassium and magnesium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Sumatriptan does not cause vasodilation of peripheral blood vessels. Instead, it has vasoconstrictive properties.
Choice B rationale
Sumatriptan does not depress pain response in the central nervous system. Its primary action is on the cranial blood vessels.
Choice C rationale
Sumatriptan is a selective serotonin receptor agonist that causes vasoconstriction of cranial blood vessels, relieving migraine headaches.
Choice D rationale
Sumatriptan does not bind to acetylcholine receptors or prevent nerve transmission. It specifically targets serotonin receptors in cranial blood vessels.
Correct Answer is B
Explanation
Choice A rationale
Peripheral edema is more commonly associated with right-sided heart failure rather than left-sided. This is because right-sided heart failure leads to systemic venous congestion, causing fluid to accumulate in the peripheral tissues, particularly in the legs and ankles.
Choice B rationale
Pulmonary edema is a major concern in left-sided heart failure due to the inability of the left ventricle to effectively pump blood out to the systemic circulation. This results in blood backing up into the pulmonary veins, leading to fluid accumulation in the lungs.
Choice C rationale
Liver edema, or hepatomegaly, is more typically seen in right-sided heart failure, where the failure of the right ventricle causes blood to back up into the systemic circulation, affecting the liver and other organs.
Choice D rationale
Abdominal edema, or ascites, is also more associated with right-sided heart failure. This condition occurs due to increased pressure in the veins and capillaries, leading to fluid leakage into the abdominal cavity.
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