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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Decrease carbohydrate intake is not typically recommended for clients with nephrotic syndrome. The focus should be on managing protein and sodium intake, not carbohydrates.
B. Decrease protein intake is the correct recommendation. Nephrotic syndrome is characterized by protein loss in the urine, and reducing protein intake can help reduce the workload on the kidneys and prevent further protein loss. However, protein should not be completely eliminated, as the client still needs adequate nutrition.
C. Increase potassium intake is not recommended unless there is evidence of hypokalemia. Clients with nephrotic syndrome are at risk for electrolyte imbalances, but potassium intake should be carefully monitored based on lab results.
D. Increase phosphorus intake is not recommended. Clients with nephrotic syndrome are at risk for renal impairment, and increasing phosphorus intake could exacerbate kidney problems. It is generally advised to limit phosphorus intake to prevent complications such as bone mineralization issues.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
Rationale
Furosemide is a loop diuretic that promotes the excretion of potassium, which can lead to hypokalemia. The client’s potassium level on Day 2 is 2.8 mEq/L, which is significantly below the normal range of 3.5 to 5 mEq/L. Administering furosemide without addressing this hypokalemia could worsen the potassium deficiency, increasing the risk of complications such as arrhythmias.
Potassium chloride is prescribed to help replenish potassium levels, but the current dose may not be sufficient to counteract the effects of furosemide. Therefore, the nurse should clarify the prescription for furosemide to prevent further potassium depletion.
Sodium, BUN, and fasting blood glucose levels are within normal ranges and do not necessitate clarification of the furosemide prescription. Other medications on the client’s list do not directly exacerbate the low potassium levels, making furosemide the medication of concern in this context.
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