Nokea
The client with heart failure is prescribed digoxin. Which finding should the nurse report immediately?
- A. Heart rate of 58 beats per minute
- B. Potassium level of 3.2 mEq/L
- C. Blood pressure of 130/85 mmHg
- D. Respiratory rate of 18 breaths per minute
Correct Answer: B
Rationale: Hypokalemia (low potassium) increases the risk of digoxin toxicity, requiring immediate reporting.
You may also like to solve these questions
Which medication should the nurse expect the health-care provider to order for a client diagnosed with arterial occlusive disease?
- A. An anticoagulant medication.
- B. An antihypertensive medication.
- C. An antiplatelet medication.
- D. A muscle relaxant.
Correct Answer: C
Rationale: Antiplatelet medications (e.g., aspirin, clopidogrel) (C) prevent clot formation in PAD. Anticoagulants (A) are for DVT, antihypertensives (B) for BP, and muscle relaxants (D) are irrelevant.
Which dietary selection indicates the client with essential hypertension understands the discharge teaching?
- A. Fried pork chops, a loaded baked potato, and coffee.
- B. Spaghetti and meatballs, garlic bread, and iced tea.
- C. Baked ham, macaroni and cheese, and milk.
- D. Broiled fish, steamed broccoli, and garden salad.
Correct Answer: D
Rationale: Broiled fish, steamed broccoli, and salad (D) are low-sodium, low-fat, aligning with hypertension teaching. Pork chops (A), meatballs/bread (B), and ham/cheese (C) are high-sodium/fat.
The client with heart failure reports fatigue. Which action should the nurse take first?
- A. Encourage bedrest all day.
- B. Assess oxygen saturation.
- C. Administer a diuretic.
- D. Increase fluid intake.
Correct Answer: B
Rationale: Fatigue in heart failure may indicate hypoxemia, so assessing oxygen saturation is the priority.
Which complication should the nurse monitor for in a client with cardiomyopathy?
- A. Heart failure
- B. Hypoglycemia
- C. Osteoporosis
- D. Gastritis
Correct Answer: A
Rationale: Cardiomyopathy impairs heart function, increasing the risk of heart failure.
Which client would be most at risk for developing varicose veins?
- A. A Caucasian female who is a nurse.
- B. An African American male who is a bus driver.
- C. An Asian female with no children.
- D. An elderly male with diabetes.
Correct Answer: A
Rationale: Nurses (A) stand for long periods, increasing varicose vein risk. Bus drivers (B) sit, nulliparity (C) is less risky, and diabetes (D) is not a direct factor.