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Author Question: A client with congestive heart failure receives digoxin (Lanoxin) to slow and strengthen ventricular ... (Read 51 times)

strangeaffliction

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on: Jul 23, 2018
A client with congestive heart failure receives digoxin (Lanoxin) to slow and strengthen ventricular contraction. He tells a nurse during his health history that he frequently uses amphetamines to deal with all the stress.
 
  Which assessments and diagnostics would be a priority for this client?
  a. Urinalysis and creatinine clearance
  b. Digoxin levels and palpation for edema
  c. Blood pressure and BUN
  d. Auscultation of heart rhythm and an ECG

Question 2

A postoperative client received morphine in the recovery room. On assessment, the nurse notes that the client's respiratory rate is 6 breaths per minute and that the client has a decreased level of consciousness.
 
  The anesthesiologist orders naloxone (Narcan). The nurse administers this medication with the knowledge that this drug is a(n):
  a. respiratory stimulant.
  b. opioid antagonist.
  c. bronchodilator.
  d. anticonvulsant.


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vboyd24

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Amphetamines may cause ventricular dysrhythmias. Digoxin may accentuate these rhythm changes, which need to be monitored through auscultation and a rhythm strip.

Answer to Question 2

ANS: B
Naloxone is a short-acting opioid antagonist given with suspected opioid overmedication.


strangeaffliction

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Reply #2 on: Jul 23, 2018
Thanks


vboyd24

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Reply #3 on: Jul 23, 2018
Welcome :)


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