Patient Data
Which of the following findings should the nurse recognize as manifestations of digoxin toxicity? (Select all that apply.)
Nausea and vomiting
Fatigue and weakness
Bradycardia
Visual disturbances (e.g., yellow-green halos)
Hypertension
Correct Answer : A,B,C,D
A. Nausea and vomiting: Gastrointestinal symptoms such as nausea, vomiting, and anorexia are common early signs of digoxin toxicity and should be closely monitored.
B. Fatigue and weakness: Generalized fatigue and muscle weakness can result from digoxin toxicity due to its effects on cardiac output and electrolyte imbalances, indicating early toxicity.
C. Bradycardia: Digoxin increases vagal tone, which can lead to bradycardia. A heart rate below 60 bpm is a key warning sign of digoxin toxicity.
D. Visual disturbances (e.g., yellow-green halos): Visual changes, including blurred vision, yellow-green halos, or altered color perception, are classic manifestations of digoxin toxicity and require prompt recognition.
E. Hypertension: Hypertension is not typically associated with digoxin toxicity; digoxin more commonly causes bradyarrhythmias and hypotension rather than elevated blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.6"]
Explanation
Calculation:
- Convert the client's weight from pounds (lb) to kilograms (kg).
The client's weight is 154 lb.
Client weight (kg) = 154lb/2.2lb/kg
= 70kg.
- Calculate the total dose to be administered (units).
The ordered dose is 200 units/kg.
Total dose (units) = 200units/kg×70kg
= 14,000units.
- Calculate the volume to administer in milliliters (mL).
Available concentration is 25,000units/mL.
Volume (mL) = Totaldose(units)/Availableconcentration(units/mL)
= 14,000units/25,000units/mL
= 0.56mL.
- Round the answer to the nearest tenth.
= 0.6mL.
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A,B"},"D":{"answers":"B"},"E":{"answers":"A"}}
Explanation
• Refrain from sharing towels and razors with others: Prevents transmission of bacteria that can enter through minor skin breaks and cause cellulitis. Maintaining personal hygiene items reduces the risk of reinfection or spreading pathogens to others.
• Complete full course of antibiotic therapy: Promotes healing by ensuring that the bacterial infection is fully eradicated. Stopping antibiotics prematurely can lead to treatment failure, recurrence, or development of resistant organisms.
• Wash hands before and after touching open wounds including bug bites: Prevents future cellulitis by reducing the likelihood of introducing bacteria to compromised skin. Proper hand hygiene is a key preventive measure for both the client and caregivers.
• Shower daily with antibacterial soap: Helps prevent future cellulitis by reducing bacterial load on the skin. Regular cleansing is particularly important in clients with diabetes or peripheral vascular disease, who are more prone to skin infections.
• Eat foods which contain protein and vitamin C: Promotes healing by supporting tissue repair and immune function. Adequate nutrition enhances wound healing, reduces recovery time, and strengthens defenses against infection.
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