A client is receiving digitalis. The nurse should instruct the client to report which of the following side effects?

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Question 1 of 5

A client is receiving digitalis. The nurse should instruct the client to report which of the following side effects?

Correct Answer: A

Rationale: These are early signs of digitalis toxicity, requiring prompt reporting.

Question 2 of 5

The nurse is caring for a client with end-stage heart failure. The family members are distressed about the client's impending death. What action should the nurse do first?

Correct Answer: C

Rationale: Assessing coping patterns informs tailored support, making it the priority step.

Question 3 of 5

An adolescent client is admitted in respiratory alkalosis following aspirin overdose. The nurse recognizes that this imbalance was caused by

Correct Answer: A

Rationale: Aspirin overdose stimulates hyperventilation (tachypnea), leading to CO2 loss and respiratory alkalosis.

Question 4 of 5

The nurse is assessing a newborn delivered at home by a client addicted to heroin. Which of the following would the nurse expect to observe?

Correct Answer: D

Rationale: Neonatal abstinence syndrome from heroin includes jitteriness peaking 24-48 hours post-delivery.

Question 5 of 5

A client has been taking alprazolam (Xanax) for 3 days. Nursing assessment should reveal which expected effect of the drug?

Correct Answer: D

Rationale: Alprazolam reduces anxiety symptoms like tachycardia and tremors as its primary effect.

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