A toddler has been started on digoxin (Lanoxin) for cardiac ...

[kamilo84]

A toddler has been started on digoxin (Lanoxin) for cardiac failure.If the child develops digoxin (Lanoxin) toxicity,the first sign the nurse might note would be
 
  1. lowered blood pressure.
  2. tinnitus.
  3. ataxia.
  4. nausea and vomiting.

Question 2

The nurse in a prenatal clinic finds that four patients have called with complaints related to their pregnancies. Which call should the nurse return first?
 
  1. Primip at 7 weeks' gestation reporting nasal stuffiness
  2. Multip at 38 weeks experiencing rectal itching and hemorrhoids
  3. Primip at 15 weeks with nausea and vomiting and a 15-pound weight loss
  4. Multip at 32 weeks treating constipation with prune juice

[tuwy]

Answer to Question 1

Answer:4
Rationale: An early sign of digoxin (Lanoxin) toxicity is nausea and vomiting. Digoxin (Lanoxin) toxicity does not cause lowered blood pressure,tinnitus (ringing in the ears),or ataxia (unsteady gait).

Answer to Question 2

3
Rationale 1: Nasal stuffiness is common in the first trimester as a result of increased estrogen.
Rationale 2: Hemorrhoids are common during pregnancy, and often cause itching.
Rationale 3: The nurse should return this call first because this patient is the highest priority. A 15-pound weight loss is not an expected finding. A patient who has frequent vomiting is at risk for dehydration and electrolyte imbalances.
Rationale 4: Constipation during the third trimester is a common finding. Prune juice is a safe and gentle way to increase peristalsis and decrease constipation.

[kamilo84]

Thank you

[tuwy]

No problemo