The nurse is caring for a client prescribed digoxin. When assessing the client for adverse effects, the nurse should assess for which of the following signs and symptoms? (Select All that Apply.)
numbness in extremities
fatigue
Shortness of breath
anorexia
Chest pain
Confusion
Correct Answer : B,C,D,E,F
A. Numbness in extremities: Numbness in extremities is not a common adverse effect of digoxin. The focus of digoxin monitoring is primarily on cardiovascular and gastrointestinal effects.
B. Fatigue: Fatigue is a common adverse effect of digoxin and can indicate toxicity or overdose. Clients taking digoxin should be monitored for increased fatigue or weakness.
C. Shortness of breath: Shortness of breath can occur as an adverse effect of digoxin toxicity, particularly if it leads to pulmonary congestion or heart failure exacerbation.
D. Anorexia: Anorexia, or loss of appetite, can be a gastrointestinal adverse effect of digoxin. Clients may experience nausea, vomiting, or anorexia, which can contribute to weight loss and electrolyte imbalances.
E. Chest pain: Chest pain can be a sign of digoxin toxicity, especially if it is associated with other symptoms such as shortness of breath or palpitations. It is essential to evaluate any chest pain in a client taking digoxin.
F. Confusion: Confusion or changes in mental status can occur with digoxin toxicity, particularly in older adults. Clients should be monitored for signs of confusion, delirium, or other cognitive changes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["125"]
Explanation
To calculate the infusion rate in mL/hr, you can use the formula:
Infusion rate (mL/hr) = Total volume (mL) / Total time (hr)
In this case, the total volume is 1000 mL and the total time is 8 hours.
Infusion rate = 1000 mL / 8 hr
Infusion rate ≈ 125 mL/hr
The nurse should set the IV pump to deliver approximately 125 mL/hr.
Correct Answer is D
Explanation
A. Ribs: Ribs are not typically used for bone marrow aspiration procedures due to the difficulty of accessing bone marrow in this area.
B. Humerus: While bone marrow aspiration can technically be performed in the humerus (upper arm bone), it is not commonly used as a primary site because other sites like the iliac crest offer easier access and a larger volume of bone marrow.
C. Femur: The femur (thigh bone) is a potential site for bone marrow aspiration, especially in certain situations or specific patient populations. However, it is less commonly used compared to the iliac crest.
D. Iliac crest: The iliac crest is a primary site for bone marrow aspiration due to its accessibility, the relatively low risk of complications, and the ability to obtain an adequate sample of bone marrow for diagnostic purposes.
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