The nurse is reviewing the lab values of a client receiving ...

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The nurse is reviewing the lab values of a client receiving digoxin for the treatment of heart failure. The nurse plans to hold the next dose of digoxin as the serum blood level is greater than _____ ng/mL.
 
  Standard Text: Record your answer rounding to the nearest whole number.
  Fill in the blank with the appropriate word.

Question 2

The client is prescribed digoxin (Lanoxin) for the treatment of heart failure. Which assessment findings would indicate adverse effects of this medication?
 
  1. Anorexia and constipation
  2. Tachycardia and hypotension
  3. Anorexia and nausea
  4. Blurred vision and tachycardia

[Beatricemm]

Answer to Question 1

Correct Answer: 2
Rationale: The health care provider should establish acceptable parameters for serum digoxin levels for each client, and the drug should be discontinued if the level rises above the maximum. Digoxin levels higher than 2.0 ng/mL are considered toxic.
Global Rationale: The health care provider should establish acceptable parameters for serum digoxin levels for each client, and the drug should be discontinued if the level rises above the maximum. Digoxin levels higher than 2.0 ng/mL are considered toxic.

Answer to Question 2

Correct Answer: 3
Rationale 1: Anorexia can occur, but diarrhea is more likely than is constipation.
Rationale 2: Hypotension can occur, but bradycardia occurs, not tachycardia.
Rationale 3: Anorexia and nausea are common adverse effects of digoxin (Lanoxin).
Rationale 4: Blurred vision can occur, but bradycardia occurs, not tachycardia.
Global Rationale: Anorexia and nausea are common adverse effects of digoxin (Lanoxin). Anorexia can occur, but diarrhea is more likely than is constipation. Hypotension can occur, but bradycardia occurs, not tachycardia. Blurred vision can occur, but bradycardia occurs, not tachycardia.

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Excellent

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