The nurse is caring for a pediatric patient receiving digoxin therapy. Which assessment finding would indicate digoxin toxicity?
Pedal edema.
Cardiac arrhythmias.
Circumoral cyanosis.
Infrequent voiding.
The Correct Answer is B
Choice A rationale:
Pedal edema is not indicative of digoxin toxicity. Digoxin toxicity primarily affects the heart's electrical activity and rhythm, not fluid accumulation in the extremities.
Choice B rationale:
Cardiac arrhythmias are a hallmark sign of digoxin toxicity. Digoxin can lead to various types of arrhythmias, such as atrial tachycardia, atrial fibrillation, and ventricular ectopy. This occurs due to the drug's effects on altering the electrical conduction in the heart.
Choice C rationale:
Circumoral cyanosis is not a typical sign of digoxin toxicity. This symptom might be seen in conditions like methemoglobinemia or respiratory distress, but it's not directly related to digoxin toxicity.
Choice D rationale:
Infrequent voiding is not a specific sign of digoxin toxicity. It could be related to various factors, such as fluid intake, renal function, or underlying medical conditions, but it's not a hallmark of digoxin toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
"My child will no longer be affected by this condition once we start physical therapy.”.
Choice A rationale:
Cerebral palsy is a lifelong condition that affects muscle control and movement. Physical therapy can improve functionality, but it cannot completely cure or eliminate the condition. This statement demonstrates a misunderstanding of the nature of cerebral palsy.
Choice B rationale:
Choice B is accurate. Cerebral palsy management often involves a multidisciplinary approach including physical therapy, occupational therapy, and other interventions to achieve the best outcomes.
Choice C rationale:
Choice C is correct. There are indeed various treatment options for cerebral palsy, including medications, surgeries, and braces, depending on the severity and specific needs of the individual.
Choice D rationale:
The statement in Choice D is accurate. Inclusion and socialization with typically developing peers is encouraged, and schools often promote interactions among children with and without disabilities.
Correct Answer is B
Explanation
Choice A rationale:
Polyarthritis is a manifestation of rheumatic fever, but it is not the primary manifestation. The main manifestation is carditis, involving inflammation of the heart's valves and structures.
Choice B rationale:
Carditis is a hallmark manifestation of rheumatic fever. It involves inflammation of the heart's valves and structures, leading to murmurs and potential long-term cardiac damage.
Choice C rationale:
Janeway lesions are not associated with rheumatic fever. They are painless, small erythematous or hemorrhagic macules on the palms and soles, typically seen in infective endocarditis.
Choice D rationale:
Subcutaneous nodules are not a primary manifestation of rheumatic fever. These nodules, which are firm and nontender, may develop over bony prominences in cases of severe rheumatic fever.
Choice E rationale:
Cervical lymphadenopathy is not a characteristic manifestation of rheumatic fever. This type of lymphadenopathy is more commonly seen in infections or lymphatic malignancies.
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