A nurse is collecting data from an older adult client who has been taking digoxin for the past several months. For which of the following manifestations of digoxin toxicity should the nurse monitor?

Hearing deficits

Jaundice

Anorexia

Ataxia

Answer and Explanation

The Correct Answer is C

Choice A reason: Hearing deficits are not commonly associated with digoxin toxicity. The typical symptoms involve gastrointestinal, neurological, and visual changes³.

Choice B reason: Jaundice is not a manifestation of digoxin toxicity. It is more commonly related to liver conditions³.

Choice C reason: Anorexia is a common symptom of digoxin toxicity, along with nausea, vomiting, and abdominal pain. These gastrointestinal symptoms are important indicators for nurses to monitor³.

Choice D reason: Ataxia, or lack of muscle coordination, is not a typical sign of digoxin toxicity. The primary concerns with toxicity are cardiac arrhythmias and gastrointestinal symptoms³.

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Correct Answer is B

Explanation

Choice A Reason:In left HF, the left ventricle fails to pump blood forward efficiently, leading to congestion in the pulmonary circulation. As a result, blood backs up into the left atrium, causing symptoms such as pulmonary edema, shortness of breath, and fatigue. Left atrial enlargement may occur due to this backup of blood.

Choice B Reason:In left HF, blood does not back up from the left ventricle. Instead, the left ventricle itself is weakened and unable to propel blood effectively into the systemic circulation.

Choice C Reason:Blood backing up from the right ventricle is associated with right heart failure, not left HF. Right HF occurs when the right ventricle fails to pump blood efficiently, leading to congestion in the systemic venous circulation.

Choice D Reason:Blood backing up from the right atrium is also related to right heart failure. In left HF, the primary issue is congestion in the pulmonary circulation due to left ventricular dysfunction.

A. Sweating B. Fatigue C. Shortness of breath D. Dizziness E. Nausea F. Pain between shoulder blades

Correct Answer is ["A","B","C","D","E","F"]

Explanation

Choice A reason: Sweating can be an atypical symptom of a myocardial infarction, especially if it is sudden and occurs without exertion.

Choice B reason: Fatigue, particularly if it is new or unexplained, can be a sign of a myocardial infarction.

Choice C reason: Shortness of breath without chest pain can also be an atypical presentation of a myocardial infarction.

Choice D reason: Dizziness, especially if associated with other symptoms, can indicate a myocardial infarction.

Choice E reason: Nausea is another atypical symptom that can occur with a myocardial infarction.

Choice F reason: Pain between the shoulder blades can be an atypical symptom of a myocardial infarction.

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A nurse is collecting data from an older adult client who has been taking digoxin for the past several months. For which of the following manifestations of digoxin toxicity should the nurse monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse reinforces teaching to the patient on left heart failure (HF). The nurse would evaluate the patient as understanding if the patient stated which of these occurs to blood flow through the heart?

Correct Answer is B

Explanation

The licensed practical nurse is assisting with collecting data on a female patient. Which of the following findings should be reported to the registered nurse as possible atypical symptoms of a myocardial infarction in the absence of chest pain? Select all that apply.

Correct Answer is ["A","B","C","D","E","F"]

Explanation

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