When the nurse is reviewing a patient's daily laboratory test results, which of the following potassium levels should the nurse report to the healthcare provider to reduce the risk of digoxin (Lanoxin) toxicity?

Potassium 5.5 mEq/L

Potassium 3.8 mEq/L

Potassium 4.5 mEq/L

Potassium 2.9 mEq/L

Answer and Explanation

The Correct Answer is D

Choice A reason: A high potassium level can increase the risk of digoxin toxicity. The normal range for potassium is typically 3.5 to 5.0 mEq/L, so a level of 5.5 mEq/L should be reported.

Choice B reason: A potassium level of 3.8 mEq/L is within the normal range and would not typically increase the risk of digoxin toxicity.

Choice C reason: A potassium level of 4.5 mEq/L is within the normal range and would not typically increase the risk of digoxin toxicity.

Choice D reason: A low potassium level can also increase the risk of digoxin toxicity, but the question asks for the result that does not increase the risk, making 2.9 mEq/L incorrect in this context.

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Correct Answer is C

Explanation

Choice A reason: Physically restraining the patient is not appropriate unless the patient is at immediate risk of harm to themselves or others.

Choice B reason: Walking the patient to the bathroom may not be safe if the patient has been prescribed bedrest due to heart failure.

Choice C reason: Obtaining a bedside commode respects the patient's autonomy and dignity while adhering to the prescribed bedrest.

Choice D reason: While obtaining a bedpan is an option, a bedside commode may be more comfortable and dignified for the patient.

A. "You should rest in bed until you feel able to take part in unit activities." B. "You really need to follow the rules of the unit and get out of bed." C. "I will help you sit up and get your slippers on." D. "If you do not get out of bed, you will not receive your meal."

Correct Answer is C

Explanation

Choice A Reason:Encouraging the client to rest in bed until she feels able to participate in unit activities is appropriate. Depression often leads to fatigue, lack of motivation, and decreased interest in daily activities. Allowing the client to rest and regain energy while acknowledging her feelings is supportive and respectful.

Choice B Reason:Telling the client that she needs to follow the rules of the unit and get out of bed may come across as dismissive and unsupportive. It does not consider the client's emotional state or address her fatigue. A more empathetic approach is needed.

Choice C Reason:Offering assistance to help the client sit up and put on her slippers is a helpful action, but it does not directly address her feelings of tiredness or depression. While physical support is essential, emotional support and understanding are equally crucial.

Choice D Reason:Linking getting out of bed to receiving a meal may inadvertently pressure the client. It could worsen her feelings of guilt or hopelessness. Instead, focusing on her well-being and emotional state is more appropriate.

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When the nurse is reviewing a patient's daily laboratory test results, which of the following potassium levels should the nurse report to the healthcare provider to reduce the risk of digoxin (Lanoxin) toxicity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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