Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A. Potassium level of 3.0 mEq/L
Potassium level of 3.0 mEq/L: Hypokalemia is a potential adverse effect of digoxin, and apotassium level of 3.0 mEq/L is below the normal range. Low potassium levels can increase the risk of digoxin toxicity.
B. Heart rate of 66/min
Heart rate of 66/min: A heart rate of 66/min is within the normal range. Digoxin is used totreat conditions like atrial fibrillation, and the heart rate should be within an appropriate range for the client's condition.
C. BP of 132/82 mm Hg
BP of 132/82 mm Hg: Blood pressure within the normal range does not require immediate reporting in the context of digoxin administration.
D. Digoxin level of 1.2 ng/ml
Digoxin level of 1.2 ng/ml: The digoxin level of 1.2 ng/ml is within the therapeutic range, and it does not require immediate reporting.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Medsurg Final Proctored Exam. Take the full exam now
Full Explanation
a. Potassium level of 3.0 mEq/L: Hypokalemia is a potential adverse effect of digoxin, and a
potassium level of 3.0 mEq/L is below the normal range. Low potassium levels can increase the risk of digoxin toxicity.
b. Heart rate of 66/min: A heart rate of 66/min is within the normal range. Digoxin is used to
treat conditions like atrial fibrillation, and the heart rate should be within an appropriate range for the client's condition.
c. BP of 132/82 mm Hg: Blood pressure within the normal range does not require immediate reporting in the context of digoxin administration.
d. Digoxin level of 1.2 ng/ml: The digoxin level of 1.2 ng/ml is within the therapeutic range, and it does not require immediate reporting.
Similar Questions
A nurse is collecting data on a client who is two days postoperative following creation of an ileal conduit. The nurse should report which of the following findings?
A. Urine in the drainage appliance
Urine in the drainage appliance: The presence of urine in the drainage appliance is expected in a client with an ileal conduit, as this is the route for urine to exit the body.
B. Feces in the drainage appliance
Feces in the drainage appliance: An ileal conduit is created for urinary diversion, and fecesshould not be present in the drainage appliance. This finding could indicate a complication and should be reported.
C. Mild edema of the stoma
Mild edema of the stoma: Mild edema of the stoma may be expected in the early postoperative period and may not require immediate reporting unless it worsens.
D. Redness of the stoma
Redness of the stoma: Some redness is normal around a stoma, and it may not require immediate reporting unless there are signs of infection or worsening inflammation.
Full Explanation
a. Urine in the drainage appliance: The presence of urine in the drainage appliance is expected in a client with an ileal conduit, as this is the route for urine to exit the body.
b. Feces in the drainage appliance: An ileal conduit is created for urinary diversion, and feces
should not be present in the drainage appliance. This finding could indicate a complication and should be reported.
c. Mild edema of the stoma: Mild edema of the stoma may be expected in the early postoperative period and may not require immediate reporting unless it worsens.
d. Redness of the stoma: Some redness is normal around a stoma, and it may not require immediate reporting unless there are signs of infection or worsening inflammation.
A nurse is assisting with the care of a client who is postoperative following a pneumonectomy. Which of the following actions should the nurse take?
A. Position the client on the nonoperative side.
Position the client on the nonoperative side: The client should be positioned on the operative side to facilitate expansion of the remaining lung.
B. Monitor respiratory status every 8 hr.
Monitor respiratory status every 8 hr: Postoperative respiratory status should be monitored more frequently than every 8 hours to assess for complications, especially in the initialpostoperative period.
C. Elevate the head of the bed to a 15° angle.
Elevate the head of the bed to a 15° angle: The head of the bed should be elevated to a higher angle (usually 30-45 degrees) to promote optimal lung expansion and reduce the risk ofcomplications such as atelectasis.
D. Encourage the client to splint the incision when coughing.
Encourage the client to splint the incision when coughing: Encouraging the client to splint the incision when coughing helps minimize pain and supports effective coughing to preventcomplications such as atelectasis.
Full Explanation
a. Position the client on the nonoperative side: The client should be positioned on the operative side to facilitate expansion of the remaining lung.
b. Monitor respiratory status every 8 hr: Postoperative respiratory status should be monitored more frequently than every 8 hours to assess for complications, especially in the initial
postoperative period.
c. Elevate the head of the bed to a 15° angle: The head of the bed should be elevated to a higher angle (usually 30-45 degrees) to promote optimal lung expansion and reduce the risk of
complications such as atelectasis.
d. Encourage the client to splint the incision when coughing: Encouraging the client to splint the incision when coughing helps minimize pain and supports effective coughing to prevent
complications such as atelectasis.
A nurse is collecting data from a client prior to the administration of digoxin. Which of the following findings should the nurse report to the provider?
A. Potassium level of 3.0 mEq/L
Potassium level of 3.0 mEq/L: Hypokalemia is a potential adverse effect of digoxin, and apotassium level of 3.0 mEq/L is below the normal range. Low potassium levels can increase the risk of digoxin toxicity.
B. Heart rate of 66/min
Heart rate of 66/min: A heart rate of 66/min is within the normal range. Digoxin is used totreat conditions like atrial fibrillation, and the heart rate should be within an appropriate range for the client's condition.
C. BP of 132/82 mm Hg
BP of 132/82 mm Hg: Blood pressure within the normal range does not require immediate reporting in the context of digoxin administration.
D. Digoxin level of 1.2 ng/ml
Digoxin level of 1.2 ng/ml: The digoxin level of 1.2 ng/ml is within the therapeutic range, and it does not require immediate reporting.
Full Explanation
a. Potassium level of 3.0 mEq/L: Hypokalemia is a potential adverse effect of digoxin, and a
potassium level of 3.0 mEq/L is below the normal range. Low potassium levels can increase the risk of digoxin toxicity.
b. Heart rate of 66/min: A heart rate of 66/min is within the normal range. Digoxin is used to
treat conditions like atrial fibrillation, and the heart rate should be within an appropriate range for the client's condition.
c. BP of 132/82 mm Hg: Blood pressure within the normal range does not require immediate reporting in the context of digoxin administration.
d. Digoxin level of 1.2 ng/ml: The digoxin level of 1.2 ng/ml is within the therapeutic range, and it does not require immediate reporting.