A client is being assessed by a healthcare provider while taking Digoxin to manage heart failure. Which of the following findings is a manifestation of digoxin toxicity?

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Report of anorexia. Digoxin toxicity can present with gastrointestinal symptoms like anorexia, nausea, vomiting, and abdominal pain. Anorexia is particularly common in cases of digoxin toxicity due to its impact on the gastrointestinal system. This symptom should prompt immediate assessment and potential adjustment of the digoxin dosage to prevent further complications. Option A) Bruising is not typically associated with digoxin toxicity. Bruising may be related to other factors such as blood clotting abnormalities or trauma. Option B) Report of metallic taste is not a common manifestation of digoxin toxicity. Metallic taste is more commonly associated with certain medications or oral health issues. Option C) Muscle pain is not a typical sign of digoxin toxicity. Muscle pain could be due to various reasons like strain, injury, or other medications but is not specifically linked to digoxin toxicity. Understanding the manifestations of digoxin toxicity is crucial for healthcare providers to ensure safe medication management for patients with heart failure. Regular monitoring, patient education, and prompt recognition of toxic symptoms are essential aspects of pharmacological care in such cases.

Correct Answer: C

Rationale: Oprelvekin is a medication that stimulates platelet production. Therefore, monitoring the platelet count is essential to assess the effectiveness of this drug. The expected outcome for oprelvekin therapy is a platelet count greater than 50,000/mm^3. Changes in platelet count can indicate the response to the medication and help in adjusting the treatment plan accordingly.

Correct Answer: C

Rationale: Fresh frozen plasma is the appropriate blood product for a client with an elevated aPTT as it contains various coagulation factors that can help correct coagulopathies and prevent bleeding. It is not necessary to transfuse whole blood, platelets, or packed red blood cells in this situation as they do not directly address the coagulation factor deficiencies associated with an elevated aPTT.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Weight gain. Prednisone is a corticosteroid medication commonly used to treat asthma due to its potent anti-inflammatory properties. Weight gain is a common adverse effect of long-term corticosteroid use. Corticosteroids can cause fluid retention, increased appetite, and redistribution of body fat, leading to weight gain. Option B) Nervousness is incorrect because corticosteroids like prednisone are more likely to cause mood changes such as irritability or mood swings rather than nervousness. Option C) Bradycardia is incorrect as corticosteroids are more likely to cause tachycardia or irregular heartbeats as adverse cardiovascular effects rather than bradycardia. Option D) Constipation is incorrect as corticosteroids are more likely to cause gastrointestinal issues such as increased appetite, weight gain, or indigestion rather than constipation. Educationally, it is important for healthcare providers and patients to be aware of the potential adverse effects of medications like prednisone to monitor and manage them effectively to ensure optimal treatment outcomes for chronic conditions like asthma. Monitoring for weight gain can help prevent complications associated with long-term corticosteroid use, such as metabolic disturbances and cardiovascular risks.

Correct Answer: B

Rationale: The correct answer is 'B: Dry cough.' Enalapril is an ACE inhibitor known to cause a persistent dry cough as a common adverse effect. This cough should be reported to the healthcare provider for further evaluation, as it may indicate a potential issue with the medication that needs attention to ensure the client's well-being.