Homework Answers
ANSWER.
* Digoxin is a cardiac glycoside medication used for the treatment of heart diseases.
* It increases the force of contraction of cardiac muscles.
* Digoxin act by binding to the sodium-potassium pump( Na+-K-ATPase)
binding site and inhibit the action of this pump.
* Sodium-potassium pump is also act as the the binding site for potassium.
* In the case of this patient level of serum potassium is low(hypokalemia) and
which increases the susceptibility of digoxin to the site of action(sodium-potassium
pump).
* So the nurse can expect digoxin toxicity due to hypokalemia.
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A client with heart disease is taking digoxin and complains of having no appetite and experiencing...
46. A hospital client with heart failure has begun taking digoxin. What should the nurse include...
46. A hospital client with heart failure has begun taking digoxin. What should the nurse include in the client's plan of care? A) Ensure mivacurium chloride is readily available B) Monitor the client's heart rate daily C) Ensure that the client has easy access to the bathroom D) Administer the drug with food to minimize GI upsetatue 47. Which drug is in the class of drugs called human B-type natriuretic peptides? tA) Bosentan B) Milrinone C) Digoxin D) Nesiritide 48....
1. The client taking lithium carbonate (Eskalith) is having a difficult time walking, is confused, agitated...
1. The client taking lithium carbonate (Eskalith) is having a difficult time walking, is confused, agitated and is complaining of blurred vision. The nurse checks the lithium level drawn earlier in the day, expecting the level to be within which of the following ranges? A. 0.5 to 0.8 mEq/L B. 1.2 to 1.5 mEq/L C. 1.6 to 1.8 mEq/L D. 2.0 to 3.0 mEq/L
case study- heart failure- potassium/digoxin 6. Why should the nurse assess Shirley for digitalis toxicity? List...
case study- heart failure- potassium/digoxin
6. Why should the nurse assess Shirley for digitalis toxicity? List the signs and symptoms of digitalis toxicity. What is the normal blood therapeutic range of digitalis? y was referred to the he alth care provider because of her serum potassium deficits and ita effects on digitalis. A repeat potassium was completed, and the result was 2.8 mEg/L. A liter of 5% Dextrose in water with KCL 40 mEq was administered over four hours. 7....
PN 200 Fundamentals of Nursing II Case Study; Heart Failure – Potassium/Digoxin Shirley Trent, a 64-year-old...
PN 200 Fundamentals of Nursing II Case Study; Heart Failure – Potassium/Digoxin Shirley Trent, a 64-year-old paient ,has heart failure which is being controlled with diagoxin (Lanoxin), furosemide (Lasiz), and a low sodium diet. She is taking potassium chloride (KCL) 20 mEq per day orally. Three days ago,Shirley had flu-like symptoms such as anorexia,lethargy, and diarrhea. Her fluid and food intake was diminished; she refused to take KCL an stated that drug make her sick. She has been taking the...
The nurse checks the serum digoxin level for a client, and the result is 2.8 mg/ml....
The nurse checks the serum digoxin level for a client, and the result is 2.8 mg/ml. The nurse anticipates which of the following medications to be ordered because of this level? a. An increased dose of digoxirn c. Furosemide (Lasix) (Lanoxin) b. Digoxin immune fab (Ovine or d. The same dose of digoxin lLanoxin) Digibind) The client is ordered to receive a cardiac glycoside. Which of the following vital signs would make the nurse question administering this medication? a. Apical...
KL, a 57-year-old woman, has heart failure that is being controlled with digoxin, furosemide, and a...
KL, a 57-year-old woman, has heart failure that is being controlled with digoxin, furosemide, and a low-sodium diet. She is taking potassium chloride (KCl) 20 mg per day orally. Three days ago, KL had flulike symptoms that included anorexia, nausea, lethargy, and diarrhea. Her fluid and food intake diminished, and she refused to take the KCl, saying it makes her sick. She continues to take the digoxin and furosemide. The nurse's assessment during the home visit includes poor skin turgor,...
Question 6 of 25 The nurse is caring for a client with Paget's disease who has...
Question 6 of 25 The nurse is caring for a client with Paget's disease who has a serum calcium level of 12.3 mg/dL (3.1 mmol/L). The nurse should check to see that which medication is available in the stock medication supply for possible use to reverse this elevation? Rationale Strategy Terms and Conditions Privacy Policy The nurse is performing assessment on a client with acute kidney injury who is in the oliguric phase. Which should the nurse expect to note?...
8. The client with bipolar disorder is taking lithium has a lithium level of 3.1 mEq/L....
8. The client with bipolar disorder is taking lithium has a lithium level of 3.1 mEq/L. Which treatments would the nurse expect the health care provider to prescribe? Select all that apply. A. No treatment because this is within the therapeutic range B. Initiate IV therapy with isotonic sodium chloride C. Prepare the client for immediate hemodialysis D. Administer an antidote for lithium toxicity E. Monitor the client's status on telemetry
PN 105 Fundamentals of Nursing I Diuretics/Hypokalemia JS 72 years of age has had vomiting and...
PN 105 Fundamentals of Nursing I Diuretics/Hypokalemia JS 72 years of age has had vomiting and diarrhea for two days. He is on digoxin 0.25 mg per day and hydrochlorothiazide 50 mg per day. He complains of being dizzy. His blood pressure slightly is lower than usual. His serum potassium level is 3.2 mEq. The nurse assesses his physical status and note his muscles are weak and flabby, his abdomen is distended, and peristalsis is diminished. 1. What are the...
PN 105 diuretics/hypokalemia I need help 5, 6, 7, 8 PN 105 Fundamentals of Nursing I...
PN 105 diuretics/hypokalemia
I need help 5, 6, 7, 8
PN 105 Fundamentals of Nursing I Diuretics/Hypokalemia JS 72 years of age has had vomiting and diarrhea for two days. He is on digoxin 0.25 mg per day and hydrochlorothiazide 50 mg per day. He complains of being dizzy. His blood pressure slightly is lower than usual. His serum potassium level is 3.2 mEq. The nurse assesses his physical status and note his muscles are weak and flabby, his abdomen...
46. A hospital client with heart failure has begun taking digoxin. What should the nurse include in the client's plan of care? A) Ensure mivacurium chloride is readily available B) Monitor the client's heart rate daily C) Ensure that the client has easy access to the bathroom D) Administer the drug with food to minimize GI upsetatue 47. Which drug is in the class of drugs called human B-type natriuretic peptides? tA) Bosentan B) Milrinone C) Digoxin D) Nesiritide 48....
1. The client taking lithium carbonate (Eskalith) is having a difficult time walking, is confused, agitated and is complaining of blurred vision. The nurse checks the lithium level drawn earlier in the day, expecting the level to be within which of the following ranges? A. 0.5 to 0.8 mEq/L B. 1.2 to 1.5 mEq/L C. 1.6 to 1.8 mEq/L D. 2.0 to 3.0 mEq/L
case study- heart failure- potassium/digoxin
6. Why should the nurse assess Shirley for digitalis toxicity? List the signs and symptoms of digitalis toxicity. What is the normal blood therapeutic range of digitalis? y was referred to the he alth care provider because of her serum potassium deficits and ita effects on digitalis. A repeat potassium was completed, and the result was 2.8 mEg/L. A liter of 5% Dextrose in water with KCL 40 mEq was administered over four hours. 7....
The nurse checks the serum digoxin level for a client, and the result is 2.8 mg/ml. The nurse anticipates which of the following medications to be ordered because of this level? a. An increased dose of digoxirn c. Furosemide (Lasix) (Lanoxin) b. Digoxin immune fab (Ovine or d. The same dose of digoxin lLanoxin) Digibind) The client is ordered to receive a cardiac glycoside. Which of the following vital signs would make the nurse question administering this medication? a. Apical...
Question 6 of 25 The nurse is caring for a client with Paget's disease who has a serum calcium level of 12.3 mg/dL (3.1 mmol/L). The nurse should check to see that which medication is available in the stock medication supply for possible use to reverse this elevation? Rationale Strategy Terms and Conditions Privacy Policy The nurse is performing assessment on a client with acute kidney injury who is in the oliguric phase. Which should the nurse expect to note?...
8. The client with bipolar disorder is taking lithium has a lithium level of 3.1 mEq/L. Which treatments would the nurse expect the health care provider to prescribe? Select all that apply. A. No treatment because this is within the therapeutic range B. Initiate IV therapy with isotonic sodium chloride C. Prepare the client for immediate hemodialysis D. Administer an antidote for lithium toxicity E. Monitor the client's status on telemetry
PN 105 Fundamentals of Nursing I Diuretics/Hypokalemia JS 72 years of age has had vomiting and diarrhea for two days. He is on digoxin 0.25 mg per day and hydrochlorothiazide 50 mg per day. He complains of being dizzy. His blood pressure slightly is lower than usual. His serum potassium level is 3.2 mEq. The nurse assesses his physical status and note his muscles are weak and flabby, his abdomen is distended, and peristalsis is diminished. 1. What are the...
PN 105 diuretics/hypokalemia
I need help 5, 6, 7, 8
PN 105 Fundamentals of Nursing I Diuretics/Hypokalemia JS 72 years of age has had vomiting and diarrhea for two days. He is on digoxin 0.25 mg per day and hydrochlorothiazide 50 mg per day. He complains of being dizzy. His blood pressure slightly is lower than usual. His serum potassium level is 3.2 mEq. The nurse assesses his physical status and note his muscles are weak and flabby, his abdomen...
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