A client has a new prescription for digoxin. Which of the following statements should the nurse include?

Correct Answer: C

Rationale: The correct statement for the nurse to include when teaching a client about digoxin is to 'Take your pulse before taking this medication.' This is essential because clients taking digoxin need to monitor their pulse to detect signs of bradycardia, a common adverse effect of the medication. Option A is incorrect because digoxin is usually recommended to be taken with food to avoid gastrointestinal upset. Option B is incorrect because antacids can interfere with the absorption of digoxin. Option D is incorrect because contacting the provider for visual changes is important, but monitoring the pulse is crucial for digoxin administration.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Aspartate aminotransferase (AST) 60 units/L. Methotrexate, a disease-modifying antirheumatic drug (DMARD) used to treat rheumatoid arthritis, can cause hepatotoxicity as a side effect. Monitoring liver function tests, such as AST levels, is crucial to detect any potential liver damage early on. An elevated AST level could indicate liver toxicity, which would require immediate intervention from the healthcare provider. Option A) White blood cell count 8,000/mm3, Option B) Platelet count 150,000/mm3, and Option C) Hemoglobin 14 g/dL are within normal ranges and are not directly related to methotrexate therapy or the specific side effects associated with it. Educationally, understanding the significance of monitoring liver enzymes in patients on methotrexate is vital for nursing practice. This knowledge ensures early detection of potential adverse effects, promoting patient safety and optimal outcomes.

Correct Answer: A

Rationale: The correct answer is A: Serum glucose level. In Cushing's disease, there is increased cortisol production, leading to elevated blood glucose levels. This occurs due to the role of cortisol in promoting gluconeogenesis and insulin resistance. Choices B, C, and D are incorrect because Cushing's disease is not typically associated with alterations in serum potassium, calcium, or sodium levels.

Correct Answer: C

Rationale: A respiratory rate of 10/min indicates respiratory depression, a serious adverse effect of morphine that should be reported immediately. While a heart rate of 88/min, pain rating of 4, and a temperature of 37.2°C (99°F) are within normal ranges and do not indicate immediate concern related to morphine administration.