A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the following actions should the nurse take first?
Suggest that the client rests before eating the meal.
Check the client's vital signs.
Request a dietary consult.
Request an order for an antiemetic.
The Correct Answer is B
A. Suggest that the client rests before eating the meal. Although rest can help with nausea, it does not address the potential issue of digoxin toxicity, which can cause nausea.
B. Check the client's vital signs. Checking vital signs, especially heart rate, is the priority because nausea can indicate digoxin toxicity, which affects heart function.
C. Request a dietary consult. A dietary consult may be helpful if the client continues to refuse meals, but it does not address the immediate potential for digoxin toxicity.
D. Request an order for an antiemetic. Although an antiemetic may help with nausea, assessing for toxicity takes priority.
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Correct Answer is ["A","B","C","D"]
Explanation
A. Smoking: Smoking is a modifiable risk factor as quitting smoking reduces the risk of atherosclerosis.
B. Hypertension: High blood pressure can be managed through lifestyle changes and medication, making it a modifiable risk factor.
C. Hypercholesterolemia: High cholesterol levels can be controlled through diet, exercise, and medications, making it modifiable.
D. Obesity: Obesity is a modifiable risk factor, as weight loss through diet and exercise can reduce the risk of atherosclerosis.
E. Genetic predisposition: Genetic predisposition is non-modifiable, meaning individuals cannot change their inherited risk for atherosclerosis.
Correct Answer is D
Explanation
A. "I will avoid crossing my legs at the knees." Crossing the legs can restrict blood flow and should be avoided in PVD.
B. "I will use a thermometer to check the temperature of my bath water." Due to reduced sensation, checking the water temperature can prevent burns.
C. "I will not go barefoot." Going barefoot increases the risk of injury or infection, especially with impaired circulation.
D. "I will wear stockings with elastic tops." Stockings with tight elastic tops can restrict blood flow, worsening symptoms in PVD.