CCMA EXAM 2 MODULE 5 QUIZ RATED
AA client with heart failure is receiving furosemide and digoxin at 0900. What assessment findings would
indicate a need to withhold the morning dose of digoxin and furosemide? SELECT AL
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CCMA EXAM 2 MODULE 5 QUIZ RATED
AA client with heart failure is receiving furosemide and digoxin at 0900. What assessment findings would
indicate a need to withhold the morning dose of digoxin and furosemide? SELECT ALL THAT APPLY
Correct Answer--Apical pulse 58 beats per minute
-Potassium level 2.8mEq/L
-Digoxin level 2.5 ng/mL
-Furosemide interacts with digoxin because it wastes potassium, which potentiates the effects of digoxin
(makes the digoxin work better), which can lead to digoxin toxicity.Signs of digoxin toxicity include
anorexia, nausea, vomiting, diarrhea, bradycardia, and yellow, green or purple halo vision.Normal
potassium level is 3.5-5 mEq/ L. Low potassium can lead to digoxin toxicity, and furosemide wastes
potassium.The therapeutic digoxin level is 0.5-2.0 ng/mL. Anything greater than 2 is considered toxic
and the dose should be withheld.
The nurse is providing education to a client being discharge on digoxin. What information should the
nurse provide about symptoms to report to the healthcare provider? SELECT ALL THAT APPLY Correct
Answer-Visual disturbances of yellow, green, or purple halos
-Weight gain of 5 pounds in 2 days
-Heart rate greater than 120beats per minute
-Shortness of breath and worsening ankle edema
Digoxin has a narrow therapeutic window and the client needs to be aware of signs of toxicity: anorexia,
vomiting, nausea, diarrhea, bradycardia, lethargy, and yellow, green, or purple halo vision.The client
should weigh themselves daily and record it in a notebook. Weight gain of 5 pounds or more in 2 days
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