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Nursing Process/Implementation°Content Area: Pharmacology°Giddens Concepts: Caregiving, Safety °HESI Concepts:°Caregiving, Safety°Reference: Gahart, B., & Nazareno, A. (2015). 2015 Intravenous medications(31sted., pp. 841-842). St. Louis: Mosby.°Awarded 1.0 points out of 3.0 possible points.°26.ID: 9476801235°The nurse is caring for a client with known chronic kidney disease (CKD), who is taking digoxin. When assessing the client, which signs/symptoms would alert the nurse to the possibility of digoxin toxicity? Select all that apply.
A.Anorexia CorrectB.Muscle aches IncorrectC.Visual changes CorrectD.Sudden ear painE.Nausea and vomiting Correct°Rationale: Clients with CKD are particularly at risk for digoxin toxicity because the medication is excreted by the kidneys. The symptoms include confusion, visual changes, gastrointestinal (GI) disturbances such anorexia, nausea, and vomiting. Muscle aches and sudden ear pain is not indicative of digoxin toxicity. °Test-Taking Strategy: Focus on the subject, “signs/symptoms of digoxin toxicity.” It is necessary to know what these manifestations are in order to answer correctly. Remember that GI disturbances and visual disturbances are manifestations. Review: digoxin toxicity. °Level of Cognitive Ability: Analyzing°Client Needs: Physiological Integrity°Integrated Process: Nursing Process/Assessment°Content Area: Pharmacology-Cardiovascular Medications
°Giddens Concepts: Clinical Judgment, Safety °HESI Concepts:°Clinical Decision-Making/Clinical Judgment, Safety°Reference: °Ignatavicius, D., & Workman, M. (2016). Medical-surgical nursing: Patient-centered collaborative care.(8th°ed., pp. 661-662). St. Louis: Saunders.°Awarded 1.0 points out of 3.0 possible points.°27.ID: 9476807913°The nurse is creating a plan of care for a client who was admitted with an infection. The nurse has been informed that the client will need a peripherally inserted central catheter (PICC) line placed, and in the next few days will be discharged home. Which information about the PICC line should the nurse include in the plan of care? Select all that apply.