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?
Vomiting.
Dilated pupils.
Bruising.
Peripheral edema.
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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Correct Answer is B
Explanation
Choice A rationale
Experiencing a rash while taking allopurinol is not harmless. It can be a sign of a serious allergic reaction, such as Stevens-Johnson syndrome or toxic epidermal necrolysis.
Choice B rationale
Increasing fluid intake is crucial when taking allopurinol. It helps to prevent kidney stones and ensures that uric acid is effectively excreted from the body.
Choice C rationale
Increasing dietary fiber intake is not specifically related to the use of allopurinol. While fiber is beneficial for overall health, it does not directly impact the effectiveness or safety of allopurinol.
Choice D rationale
Taking one dose every hour until the pain subsides is incorrect and dangerous. Allopurinol should be taken as prescribed by a healthcare provider, typically once or twice daily.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale
Prednisone, a corticosteroid, can cause hypokalemia by increasing renal potassium excretion.
Choice B rationale
Torsemide, a loop diuretic, can lead to hypokalemia by promoting potassium loss through urine.
Choice C rationale
Polystyrene sulfonate is used to treat hyperkalemia, but it can cause hypokalemia as it removes potassium from the body.
Choice D rationale
A client taking spironolactone does not require monitoring for hypokalemia because spironolactone is a potassium-sparing diuretic. It helps the body retain potassium, so it is more likely to cause hyperkalemia (high potassium levels) than hypokalemia.
Choice E rationale
Hydrochlorothiazide, a thiazide diuretic, can cause hypokalemia by increasing potassium excretion in the urine.