Brunner and Suddarth's Textbook of Medical Surgical Nursing -Chapter 29 Exam: Management of Patients with Complications from Heart Disease || All Questions & Answers (Expert Rated A+)

Brunner and Suddarth's Textbook of Medical Surgical Nursing -Chapter 29 Exam: Management of Patients with Complications from Heart Disease || All Questions & Answers (Expert Rated A+) Brunner and Suddarth's Textbook of Medical Surgical Nursing -Chapter 29 Exam: Management of Patients with Complications from Heart Disease || All Questions & Answers (Expert Rated A+) The nurse is caring for an adult patient with HF who is prescribed digoxin. When assessing the patient for adverse effects, the nurse should assess for which of the following signs and symptoms? Confusion and bradycardia Uncontrolled diuresis and tachycardia Numbness and tingling in the extremities Chest pain and shortness of breath - ANSWER - Confusion and bradycardia**** Uncontrolled diuresis and tachycardia Numbness and tingling in the extremities Chest pain and shortness of breath Feedback: A key concern associated with digitalis therapy is digitalis toxicity. Symptoms include anorexia, nausea, visual disturbances, confusion, and bradycardia. The other listed signs and symptoms are not characteristic of digitalis toxicity. A nurse in the CCU is caring for a patient with HF who has developed an intracardiac thrombus. This creates a high risk for what sequela? Stroke Myocardial infarction (MI) Hemorrhage Peripheral edema - ANSWER - Stroke*** Myocardial infarction (MI) Hemorrhage Peripheral edema Feedback: Intracardiac thrombi can become lodged in the cerebral vasculature, causing stroke. There is no direct risk of MI, hemorrhage, or peripheral edema. The nurse is caring for a 68yearold patient the nurse suspects has digoxin toxicity. In addition to physical assessment, the nurse should collect what assessment datum? Skin turgor Potassium level White blood cell count Peripheral pulses - ANSWER - Skin turgor Potassium level*** White blood cell count Peripheral pulses Feedback: The serum potassium level is monitored because the effect of digoxin is enhanced in the presence of hypokalemia and digoxin toxicity may occur. Skin turgor, white cell levels, and peripheral pulses are not normally affected in cases of digitalis toxicity. The triage nurse in the ED is performing a rapid assessment of a man with complaints of severe chest pain and shortness of breath. The patient is diaphoretic, pale, and weak. When the patient collapses, what should the nurse do first?