A provider is explaining potential side effects of digoxin. The patient would be correct if they say which statement?
"My heart rate may increase
"My vision may get blurred
may have constipation after taking this medication
My abdomen may hurt after taking this medication"
The Correct Answer is B
A) "My heart rate may increase":
Digoxin is primarily used to slow the heart rate, not increase it. One of its actions is to increase the force of contraction of the heart while slowing the conduction through the atrioventricular (AV) node, which typically leads to a decreased heart rate. An increase in heart rate would be an unusual side effect and might indicate digoxin toxicity or another underlying issue.
B) "My vision may get blurred":
A common side effect of digoxin toxicity is visual disturbances, which may include blurred vision, yellow-green halos, or other color vision abnormalities. These symptoms are often associated with elevated digoxin levels in the blood and are a hallmark sign of toxicity.
C) "I may have constipation after taking this medication":
Constipation is not a typical side effect of digoxin. While some medications may cause constipation, this is not a primary or common side effect of digoxin. If constipation occurs, it may be due to other factors, such as diet, other medications, or a comorbid condition.
D) "My abdomen may hurt after taking this medication":
Although abdominal discomfort can be a side effect of many medications, it is not a primary or typical side effect of digoxin. If the patient experiences abdominal pain, it could be related to digoxin toxicity, especially if accompanied by other symptoms like nausea, vomiting, or diarrhea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Flushing of the face:
Flushing is a common and usually harmless side effect of nitroglycerin, caused by its vasodilation properties. It often resolves quickly and is not typically a cause for concern. While it can be uncomfortable, it is not a sign of a serious problem that would require immediate medical attention.
B) Dizziness upon standing:
Dizziness upon standing (orthostatic hypotension) is a known side effect of nitroglycerin due to its blood pressure-lowering effects. It typically occurs when the patient rises too quickly from a sitting or lying position. While it can be uncomfortable and may cause the patient to feel lightheaded, it is usually not an emergency and can often be managed by rising slowly. If dizziness persists or is severe, the healthcare provider should be notified, but it is not an immediate emergency.
C) Persistent chest pain that lasts longer than 15 minutes:
Chest pain lasting longer than 15 minutes could indicate a myocardial infarction (heart attack) rather than stable angina, even if nitroglycerin has been administered. Chest pain that is not relieved by nitroglycerin or persists for more than a few minutes is an emergency situation and should be reported immediately to the healthcare provider or emergency services.
D) Mild headache:
Headache is a common and benign side effect of nitroglycerin, caused by its vasodilation effect. It is usually mild and transient and does not require immediate medical attention. In most cases, the headache improves over time or with the use of over-the-counter pain relievers, and it is not a reason to contact the healthcare provider unless it becomes severe or persistent.
Correct Answer is D
Explanation
Given:
Ordered dose of Heparin: 9 units/kg/hr
Patient weight: 76 kg
Concentration of Heparin: 50 units/mL
Step 1: Calculate the total dose of Heparin:
Total dose (units/hr) = Ordered dose (units/kg/hr) x Patient weight (kg)
Total dose (units/hr) = 9 units/kg/hr x 76 kg
Total dose (units/hr) = 684 units/hr
Step 2: Calculate the infusion rate in mL/hr:
Infusion rate (mL/hr) = Total dose (units/hr) / Concentration (units/mL)
Infusion rate (mL/hr) = 684 units/hr / 50 units/mL
Infusion rate (mL/hr) = 13.68 mL/hr
Step 3: Round to the nearest tenth:
Infusion rate (mL/hr) ≈ 13.7 mL/hr
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