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NEW QUESTION 37
A client has received digoxin 0.25 mg po daily for 2 weeks. Which of the following digoxin levels indicates toxicity?
- A. 0.5 ng/mL
- B. 1.0 ng/mL
- C. 3.0 ng/mL
- D. 2.0 ng/mL
Answer: C
Explanation:
(A) 0.5 ng/mL of digoxin is a subtherapeutic level, not a toxic one. (B) 1.0 ng/mL is a therapeutic level. (C) 2.0 ng/mL is a therapeutic level. (D) Digoxin’s therapeutic level is 0.8-2.0 ng/mL. Digoxin’s toxic level is >2.0 ng/mL.
NEW QUESTION 38
A behavioral modification program is recommended by the multidisciplinary team working with a 15-year-old client with anorexia nervosa. A nursing plan of care based on this modality would include:
- A. Encouraging her to verbalize her feelings concerning food and food intake
- B. Role playing the client’s eating behaviors
- C. Restriction to the unit until she has gained 2 lb
- D. Provision for a high-calorie, high-protein snack between meals
Answer: C
Explanation:
Explanation
(A) This answer is incorrect. Role playing is based on learning but is not based on the behavioral modification model. (B) This answer is correct. The behavioral modification model is based on negative and positive reinforcers to change behavior. (C) This answer is incorrect. Verbal catharsis is not an intervention based on behavioral modification. (D) This answer is incorrect. Although an acceptable nursing intervention, it is not based on behavioral modification.
NEW QUESTION 39
A client is being treated for congestive heart failure. His medical regimen consists of digoxin (Lanoxin) 0.25 mg po daily and furosemide 20 mg po bid. Which laboratory test should the nurse monitor?
- A. Calcium
- B. Intake and output
- C. Potassium
- D. Magnesium
Answer: C
Explanation:
Explanation
(A) Intake and output are not laboratory tests. (B) Serum calcium levels are not affected by digoxin or furosemide. (C) Furosemide is a non-potassium-sparing loop diuretic. Hypokalemia is a common side effect of furosemide and may enhance digoxin toxicity. (D) Serum magnesium levels are not affected by digoxin or furosemide.
NEW QUESTION 40
Which of the following should be included in discharge teaching for a client with hepatitis C?
- A. He may become a blood donor when his liver enzymes return to normal.
- B. He should use disposable dishes for eating and drinking.
- C. He should avoid alcoholic beverages during his recovery period.
- D. He should take aspirin as needed for muscle and joint pain.
Answer: C
Explanation:
(A) Aspirin is hepatotoxic, may increase bleeding, and should be avoided. (B) Blood should not be donated by a client who has had hepatitis C because of the possibility of transmission of disease. (C) Alcohol is detoxified in the liver. (D) Hepatitis C is not spread through the oral route.
NEW QUESTION 41
A client has returned to the unit following a left femoral popliteal bypass graft. Six hours later, his dorsalis pedis pulse cannot be palpated, and his foot is cool and dusky. The nurse should:
- A. Reposition and reassess the foot
- B. Notify the physician immediately
- C. Assure the client that his foot is fine
- D. Continue to monitor the foot
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) The client is losing blood supply to his left foot. Continuing to monitor the foot will not help restore the blood supply to the foot. (B) The physician should be notified immediately because the client is losing blood supply to his left foot and is in danger of losing the foot and/or leg. (C) The presenting symptoms are of an emergency nature and require immediate intervention. (D) This action would be giving the client false assurance.
NEW QUESTION 42
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