Author Question: The nurse is teaching a client recently started on digitalis preparation the signs and symptoms of ... (Read 65 times)

2125004343 · **on:** Jun 25, 2018

The nurse is teaching a client recently started on digitalis preparation the signs and symptoms of toxicity. The client should be instructed to notify the physician if what is experienced?

1. Anorexia, anxiety, and pulse rate below 70
2. Anorexia, nausea, malaise, and blurred vision
3. Loss of night vision, anxiety, and leg cramps
4. Vision disturbances, abdominal cramps, and pulse above 80

Question 2

A 78-year-old client is admitted with the diagnosis of left-sided congestive heart failure. When assessing the client, what signs and symptoms should the nurse expect to find?

1. Peripheral dependent edema and bradycardia
2. Signs of fluid volume deficit, hypokalemia, and hypernatremia
3. Enlarged liver, venous congestion, and distended neck veins
4. Dyspnea, orthopnea, and cough

Carissamariew · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 2

1. Signs and symptoms of digoxin toxicity include palpitations; abdominal pain; anorexia; nausea; weakness; irregular heart rate and/or slow heart rate; and blurred, colored, or double vision.
2. Signs and symptoms of digoxin toxicity include palpitations; abdominal pain; anorexia; nausea; weakness; irregular heart rate and/or slow heart rate; and blurred, colored, or double vision.
3. Signs and symptoms of digoxin toxicity include palpitations; abdominal pain; anorexia; nausea; weakness; irregular heart rate and/or slow heart rate; and blurred, colored, or double vision.
4. Signs and symptoms of digoxin toxicity include palpitations; abdominal pain; anorexia; nausea; weakness; irregular heart rate and/or slow heart rate; and blurred, colored, or double vision.

Answer to Question 2

Answer: 4

1. Peripheral edema is seen with right-sided failure.
2. Signs of fluid volume excess, not deficit, would be seen.
3. Liver congestion and distended neck veins are seen with right-sided failure.
4. Manifestations of left-sided heart failure are the result of pulmonary congestion and decreased cardiac output. Impaired left ventricular emptying causes a backup of fluids in the pulmonary vascular system.