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1. Question
The nurse is monitoring a client who is taking digoxin for adverse effects. Which findings are characteristic of digoxin toxicity? Select all that apply.
Correct
Answer: Option 2,4,5. are correct answer.
Rationale: Digoxin is a cardiac glycoside. The risk of toxicity can occur with the use of this medication. Toxicity can lead to life-threatening events and the nurse needs to monitor the client closely for signs of toxicity. Early signs of toxicity include gastrointestinal manifestations such as anorexia, nausea, vomiting, and diarrhea. Subsequent manifestations include headache; visual disturbances such as diplopia, blurred vision, yellow-green halos, and photophobia; drowsiness; fatigue; and weakness. Cardiac rhythm abnormalities can also occur. The nurse also monitors the digoxin level. The optimal therapeutic range for digoxin is 0.5 to 0.8 ng/mL. Test-Taking Strategy: Focus on the subject, digoxin toxicity. Specific knowledge regarding the characteristics of digoxin toxicity is needed to answer this question. Recall that the early signs are gastrointestinal manifestations. Next, recall that visual disturbances can occur.
Incorrect
Answer: Option 2,4,5. are correct answer.
Rationale: Digoxin is a cardiac glycoside. The risk of toxicity can occur with the use of this medication. Toxicity can lead to life-threatening events and the nurse needs to monitor the client closely for signs of toxicity. Early signs of toxicity include gastrointestinal manifestations such as anorexia, nausea, vomiting, and diarrhea. Subsequent manifestations include headache; visual disturbances such as diplopia, blurred vision, yellow-green halos, and photophobia; drowsiness; fatigue; and weakness. Cardiac rhythm abnormalities can also occur. The nurse also monitors the digoxin level. The optimal therapeutic range for digoxin is 0.5 to 0.8 ng/mL. Test-Taking Strategy: Focus on the subject, digoxin toxicity. Specific knowledge regarding the characteristics of digoxin toxicity is needed to answer this question. Recall that the early signs are gastrointestinal manifestations. Next, recall that visual disturbances can occur.
Digoxin:
Digoxin can be used in the treatment of atrial
fibrillation, atrial flutter and heart failure, because of the effect it has on
the heart.
It can be used on a long-term basis to prevent
arrhythmias and control the rhythm of the heart.
Side Effects
The most serious side effect of digoxin is causing or
worsening arrhythmia, which can happen when the dose it too high.
