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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

Methimazole does not typically cause constipation. It is used to treat hyperthyroidism by inhibiting the production of thyroid hormones.

Choice B rationale

A sore throat can be a sign of agranulocytosis, a serious side effect of methimazole that involves a dangerously low white blood cell count. Patients are advised to contact their provider if they experience a sore throat.

Choice C rationale

While monitoring weight is important for patients with hyperthyroidism, it is not a specific instruction related to methimazole use.

Choice D rationale

Methimazole should be taken regularly as prescribed, not on an as-needed basis.

Correct Answer is B

Explanation

Choice A rationale

Dependent edema is not a common adverse effect of gemfibrozil. It is more commonly associated with other conditions such as heart failure.

Choice B rationale

Muscle tenderness is a known adverse effect of gemfibrozil. It can indicate myopathy or rhabdomyolysis, which are serious conditions that require medical attention.

Choice C rationale

Tremors are not a common adverse effect of gemfibrozil. They are more commonly associated with neurological conditions or other medications.

Choice D rationale

Hyperkalemia is not a common adverse effect of gemfibrozil. It is more commonly associated with medications that affect renal function or potassium balance. .

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