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A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following manifestations should the nurse report to the provider as an indication of digoxin toxicity?

A.

Vomiting.

B.

Dilated pupils.

C.

Bruising.

D.

Peripheral edema.

Answer and Explanation

The Correct Answer is A

Choice A rationale

 

Vomiting is a common sign of digoxin toxicity. Other symptoms include nausea, confusion, and visual disturbances.

 

Choice B rationale

 

Dilated pupils are not a typical sign of digoxin toxicity. Symptoms are more related to gastrointestinal and cardiac effects.

 

Choice C rationale

 

Bruising is not directly associated with digoxin toxicity. It may indicate other issues such as coagulopathy.

 

Choice D rationale

 

Peripheral edema is not a specific sign of digoxin toxicity. It is more commonly associated with heart failure.


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View Related questions

Correct Answer is B

Explanation

Choice A rationale

Monitoring for weight gain is not a primary concern with pramlintide. Pramlintide is an amylin analog used to control postprandial blood glucose levels. Weight gain is not a typical side effect of pramlintide; instead, it may cause weight loss due to its effects on appetite suppression and delayed gastric emptying.

Choice B rationale

Monitoring for hypoglycemia for 3 hours after pramlintide administration is crucial. Pramlintide can increase the risk of insulin-induced hypoglycemia, especially in patients with type 1 diabetes. This is because pramlintide slows gastric emptying and suppresses glucagon secretion, which can lead to lower blood glucose levels.

Choice C rationale

Injecting pramlintide in the upper arm is not recommended. Pramlintide should be administered subcutaneously in the abdomen or thigh, not the upper arm, to ensure proper absorption and effectiveness.

Choice D rationale

Administering pramlintide 30 minutes prior to a meal is incorrect. Pramlintide should be administered immediately before meals to help control postprandial blood glucose levels effectively.

Correct Answer is A

Explanation

Choice A rationale

Elevated alanine aminotransferase (ALT) is an adverse effect of simvastatin therapy. Statins, including simvastatin, can cause liver damage, which is indicated by elevated liver enzymes such as ALT2.

Choice B rationale

Elevated troponin T is not typically associated with simvastatin therapy. Troponin T is a marker for cardiac muscle damage, not a common adverse effect of statins.

Choice C rationale

Elevated WBC count is not a known adverse effect of simvastatin therapy. An elevated WBC count usually indicates an infection or inflammation.

Choice D rationale

Elevated thyroid-stimulating hormone (TSH) is not associated with simvastatin therapy. TSH levels are related to thyroid function, not the effects of statins.

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