Author Question: A client comes to the clinic complaining of weakness and drowsiness. He states, I just get so tired ... (Read 53 times)

chads108 · **on:** Jul 23, 2018

A client comes to the clinic complaining of weakness and drowsiness. He states, I just get so tired sometimes that I can't do what I want to do. The client is receiving digoxin as part of the treatment for heart failure.

Which nursing diagnosis would the nurse most likely identify?

A) Risk for Injury
B) Activity Intolerance
C) Decreased Cardiac Output
D) Imbalanced Nutrition: Less Than Body Requirements

Question 2

A client receives his prescribed daily digoxin at 9 a.m. today. The nurse would expect to obtain a serum drug level at which time?

A) 12 noon today
B) 4 p.m. today
C) 9 p.m. tonight
D) 12 midnight

Zebsrer · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: B
Feedback:
Based on the client's statement and complaints, the nurse would most likely identify a nursing diagnosis of Activity Intolerance. Risk for Injury might be appropriate if the client complained of dizziness or if his complaints affected his ambulation. There is no evidence to support a nursing diagnosis of Decreased Cardiac Output or Imbalanced Nutrition.

Answer to Question 2

Ans: B
Feedback:
Blood for plasma level measurements should be drawn immediately before the next dose or 6 to 8 hours after the last dose regardless of route. For this client, that would be between 3 p.m. and 5 p.m. today or immediately before his dose tomorrow.