The nurse is caring for a client who was prescribed digoxin. Which manifestations correlate with a digoxin level of 3.0 (Range: 0.8-2.0)? (Select all that apply)

Nausea

Vomiting

Photophobia

Hyperglycemia

Answer and Explanation

Correct Answer : A,B,D

Choice A reason: Nausea is a common symptom of digoxin toxicity. Elevated levels of digoxin can cause gastrointestinal disturbances, including nausea.

Choice B reason: Vomiting is also a common symptom of digoxin toxicity. The medication can irritate the stomach and lead to vomiting.

Choice D reason: Hyperglycemia is not typically associated with digoxin toxicity. This symptom is unrelated to the effects of elevated digoxin levels.

Choice E reason: Photophobia is not a common symptom of digoxin toxicity. Symptoms of digoxin toxicity are more likely to be gastrointestinal or cardiovascular in nature.

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Correct Answer is D

Explanation

Choice A reason: The nurse waiting 5 minutes between administering prescribed eye drops is a standard practice to allow each drop to be properly absorbed and avoid dilution of the medication. This intervention does not require any action from the charge nurse.

Choice B reason: Leaving the eye shield in place while the client sleeps helps protect the eye from potential injury or infection after surgery. This is a recommended practice and does not need intervention from the charge nurse.

Choice C reason: Instructing the client not to drive at night is a reasonable precautionary measure given the client's recent eye surgery and potential vision changes. This instruction does not warrant intervention from the charge nurse.

Choice D reason: Encouraging the client to exercise with 20 lb weights one day post-operatively is inappropriate and requires the charge nurse to intervene. Strenuous activity can increase intraocular pressure and compromise the healing process after cataract surgery. The client should avoid heavy lifting and follow the post-operative care instructions provided by the healthcare team.

A. "You will not need any special treatment after surgery." B. "You will need to undergo chemotherapy after surgery." C. "You will need to wear an abdominal binder after surgery." D. "You will need to take daily hormone replacement medications after surgery."

Correct Answer is D

Explanation

Choice A reason: Telling the client they will not need any special treatment after surgery is inaccurate. Bilateral adrenalectomy results in the removal of both adrenal glands, which produce essential hormones.

Choice B reason: Chemotherapy is not a standard post-surgical treatment for an adrenalectomy unless there is a specific indication. This statement may cause unnecessary concern for the client.

Choice C reason: An abdominal binder is not typically required after a bilateral adrenalectomy. This information is not relevant to the client's post-surgical needs.

Choice D reason: After a bilateral adrenalectomy, the client will need daily hormone replacement medications for life, as the adrenal glands are responsible for producing essential hormones like cortisol and aldosterone

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The nurse is caring for a client who was prescribed digoxin. Which manifestations correlate with a digoxin level of 3.0 (Range: 0.8-2.0)? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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