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Practice Question

A nurse is providing education to a client with heart failure who will begin taking digoxin daily at home. Which of the following statements made by the client indicates an understanding of the teaching? (Select all that apply.)

Answer Choices:

Correct Answer:

I will hold my dose and call my doctor if my heart rate is less than 60 beats per minute.

Rationale:

✍️Clients taking digoxin should be taught to check their apical pulse before each dose.

✍️ If the pulse is less than 60 beats/min, the medication should be withheld, and the healthcare provider must be notified.

✍️ Bradycardia is a common sign of digoxin toxicity, especially in older adults.

✍️ Loss of appetite, nausea, vomiting, and abdominal discomfort are early signs of digoxin toxicity.

✍️ The client must be instructed to report these symptoms immediately, as toxicity can progress to visual disturbances, confusion, and arrhythmias if untreated.

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This question is from RN Medsurg Quiz 7 which contains 22 questions.

More Questions from This Exam
A low-sodium diet is prescribed for a client who has fluid volume overload due to chronic heart failure. The nurse recognizes that additional teaching is necessary when the client makes which statement?

Answer Choices:

A. "l can eat whatever I want in restaurants, as long as I don't add additional salt from the shaker when the food arrives to the table."
B. "l will eat more fresh vegetables, because canned vegetables can be high in sodium."
C. "l should read the nutrition labels when I grocery shop, because sodium can be high in a variety of processed foods."
D. "l can add lemon juice and herbs for flavor when I cook, instead of adding salt'
A client is brought to the emergency department by ambulance with chest pain 10/10, which began 30 minutes prior. The client's troponin levels are 1.20 ng/mL, and an ST-elevation is noted on the electrocardiogram (ECG). The nurse understands that the priority intervention for this patient is which of the following?

Answer Choices:

A. Transport the patient to the cardiac catheterization lab for percutaneous coronary intervention (PCI).
B. Begin aggressive diuresis with furosemide and obtain an order for digoxin.
C. Prepare the patient for synchronized cardioversion and radiofrequency catheter ablation.
D. Administer gemfibrozil (Lopid) while preparing the client for a cardiac stress test.
A nurse is caring for a client who has been diagnosed with thrombotic thrombocytopenic purpura (TTP) and will begin plasmapheresis. What should the nurse plan to include when educating the client about this treatment?

Answer Choices:

A. We excess ADAMTS-13 from your plasma
B. Large von Willebrand factor molecules from your plasma
C. Macrophages from your spleen
D. Perform it once a week until your platelet counts normalize.
From Exam
RN Medsurg Quiz 7

22 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI MedSurg
  • Answer Choices: 4
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