The nurse has a prescription to give a client a scheduled dose of ...

[Bernana]

The nurse has a prescription to give a client a scheduled dose of digoxin (Lanoxin). Prior to administering the medication, the nurse assesses for which of the following manifestations that could indicate digoxin toxicity?
 
  1. Dyspnea, edema, and palpitations
  2. Chest pain, hypotension, and paresthesias
  3. Constipation, dry mouth, and sleep disorder
  4. Double vision, loss of appetite, and nausea

Question 2

The nurse is preparing to assist a Jewish-American client with eating lunch. A kosher meal is delivered to the client. Which of the following nursing actions is most appropriate in assisting the client with the meal?
 
  1. Unwrap the eating utensils for the client.
  2. Replace the plastic utensils with metal eating utensils.
  3. Carefully place the food from the paper plates to glass plates.
  4. Ask the client to unwrap the eating utensils, and allow the client to prepare the meal for eating.

[Cnarkel]

Answer to Question 1

4

Rationale: Double vision, loss of appetite, and nausea are signs of digoxin toxicity. Other signs of digoxin toxicity include bradycardia, visual alterations (such as green and yellow vision, or seeing spots or halos), confusion, vomiting, diarrhea, decreased libido, and impotence. The other options are incorrect because they do not identify manifestations of digoxin toxicity.

Answer to Question 2

4

Rationale: Kosher meals arrive on paper plates and with plastic utensils sealed. Health care pro-viders should not unwrap the utensils or place the food on another serving dish. Although the nurse may want to be helpful in assisting the client with the meal, the only appropriate option for this client is ask the client to unwrap the eating utensils, and allow the client to prepare the meal for eating.

[Bernana]

TY

[Cnarkel]

You're welcome