A nurse is providing discharge teaching for a client who has heart failure and is to start therapy with digoxin. Which of the following statements by the client indicates an understanding of the teaching?
"I will notify my provider if I experience muscle weakness."
"I will take this medication with fiber to prevent constipation."
"I will increase my dose if my vision becomes blurred."
"I will take my digoxin if my pulse is less than 50 beats per minute."
The Correct Answer is A
A. Muscle weakness can be a sign of digoxin toxicity, especially if it is accompanied by other symptoms like nausea, vomiting, or blurred vision. The client should notify the provider immediately if these symptoms occur.
B. Taking digoxin with fiber is not necessary and may interfere with its absorption. The client should take digoxin on an empty stomach, or as directed by the provider, but not specifically with fiber to prevent constipation.
C. Increasing the dose of digoxin if the client experiences blurred vision could be dangerous. Blurred vision is actually a symptom of digoxin toxicity, and the client should not increase the dose but should notify the provider immediately.
D. The nurse should advise the client to hold the digoxin if their pulse is less than 60 beats per minute (not 50), as this could indicate bradycardia caused by digoxin. The client should contact their provider before taking the medication if their pulse is too low.
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Related Questions
Correct Answer is D
Explanation
A. Loss of hearing is not a common or expected manifestation of pernicious anemia. It is typically associated with other conditions, such as age-related hearing loss or certain types of neurological disorders.
B. Muscle wasting is not a typical manifestation of pernicious anemia. While muscle weakness may occur, it is not generally characterized by muscle wasting.
C. Changes in vision are not a common manifestation of pernicious anemia. However, some neurological symptoms may affect vision, but these are typically secondary to more severe or untreated cases.
D. Paresthesia (numbness or tingling, especially in the hands and feet) is a common manifestation of pernicious anemia due to vitamin B12 deficiency, which can lead to neurological impairment. This poses a safety risk as it can affect the client’s ability to feel and respond to environmental stimuli, increasing the risk of falls or injury.
Correct Answer is B
Explanation
A. Mouth sores can be a common side effect of chemotherapy, but acupuncture is generally not contraindicated for mouth sores. In fact, acupuncture may help alleviate some of the discomfort associated with this side effect.
B. Lymphedema is a contraindication for acupuncture because the insertion of needles in areas with compromised lymphatic flow could worsen the condition. It is important to avoid any invasive procedures in areas where the lymphatic system is at risk for further damage.
C. Headaches are a common side effect of chemotherapy and can be managed with acupuncture. Acupuncture is often used to treat various types of headaches, including those associated with chemotherapy.
D. Urticaria (hives) is not a contraindication to acupuncture. However, the nurse should ensure that the client does not have an active allergic reaction at the acupuncture site, but generally, acupuncture can be safely performed in individuals with urticaria.
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