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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 D

Explanation

Choice A rationale

Sitagliptin is a DPP-4 inhibitor used to manage blood sugar levels in type 2 diabetes but does not specifically slow the progression of nephropathy.

Choice B rationale

Glipizide is a sulfonylurea that helps control blood sugar levels but does not have a direct effect on slowing nephropathy progression.

Choice C rationale

Metoprolol is a beta-blocker used to manage hypertension but does not specifically target nephropathy progression.

Choice D rationale

Losartan is an angiotensin II receptor blocker (ARB) that helps manage hypertension and has been shown to slow the progression of nephropathy in patients with type 2 diabetes.

Correct Answer is C

Explanation

Choice A rationale

Monitoring calcium levels is not typically necessary for patients taking lisinopril, as it does not significantly affect calcium levels.

Choice B rationale

Sodium levels are not commonly affected by lisinopril, so routine monitoring is not required.

Choice C rationale

Lisinopril can cause hyperkalemia (high potassium levels), so monitoring potassium levels is crucial to prevent complications.

Choice D rationale

Magnesium levels are not significantly impacted by lisinopril, so routine monitoring is not necessary.

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