A nurse in a clinic is caring for a client who has heart failure and is taking digoxin. Which of the following statements by the client indicates the client is experiencing digoxin toxicity?
"I am constipated."
"My vision seems yellow
"My tongue is red and beefy."
"I am gaining weight."
The Correct Answer is B
A. "I am constipated." Constipation is not a common indicator of digoxin toxicity; it may be more related to diet or other medications.
B. "My vision seems yellow." Yellow or blurred vision, also called xanthopsia, is a classic sign of digoxin toxicity and should be reported immediately.
C. "My tongue is red and beefy." A red and beefy tongue may indicate vitamin B12 deficiency, not digoxin toxicity.
D. "I am gaining weight." Weight gain is usually a sign of fluid retention or worsening heart failure, not specifically digoxin toxicity.
Free Nursing Test Bank
- Free Pharmacology Quiz 1
- Free Medical-Surgical Quiz 2
- Free Fundamentals Quiz 3
- Free Maternal-Newborn Quiz 4
- Free Anatomy and Physiology Quiz 5
- Free Obstetrics and Pediatrics Quiz 6
- Free Fluid and Electrolytes Quiz 7
- Free Community Health Quiz 8
- Free Promoting Health across the Lifespan Quiz 9
- Free Multidimensional Care Quiz 10
View Related questions
Correct Answer is D
Explanation
A. Overweight. While weight can affect medication metabolism, it does not specifically increase risk with pseudoephedrine.
B. Migraine headaches. Migraine headaches are not contraindicated with pseudoephedrine, although some stimulants can increase headaches.
C. Eczema. Pseudoephedrine does not typically affect eczema.
D. Hypertension. Pseudoephedrine is a decongestant that can increase blood pressure, so it should be used with caution in clients with hypertension.
Correct Answer is B
Explanation
A. "Your heart condition is caused from stiffening of the walls of the ventricles." Stiffening of the ventricular walls describes restrictive cardiomyopathy, not DCM.
B. "Your heart condition is caused by excessive stretching of the ventricles." DCM involves excessive stretching and thinning of the ventricular walls, leading to impaired contraction.
C. "Your heart condition is caused when the ventricular tissue becomes fibrous and fatty." This describes arrhythmogenic right ventricular dysplasia, not DCM.
D. "Your heart condition is caused by thickening of the ventricular walls and septum." This describes hypertrophic cardiomyopathy, not DCM.