A nurse is caring for a patient who is taking Digoxin. The nurse should instruct the patient to monitor and report which of the following adverse effects? ( select all the apply)

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: A

Rationale: When taking Digoxin, low levels of potassium can cause toxicity because digoxin competes with potassium for binding sites on the sodium-potassium pump in cardiac cells. Low potassium levels can lead to increased binding of digoxin to the pump, resulting in increased intracellular calcium levels and an increased risk of digoxin toxicity, including arrhythmias. Therefore, monitoring and maintaining adequate potassium levels are crucial in patients taking digoxin to prevent toxicity.

Correct Answer: A

Rationale: To evaluate the medical effectiveness of Metformin, it is essential to monitor serum glucose levels, as Metformin is commonly used to treat type 2 diabetes by decreasing glucose production in the liver and increasing insulin sensitivity in peripheral tissues. Monitoring serum electrolytes, ketones, blood pH, lactate, and pyruvate levels is also important because Metformin can potentially cause lactic acidosis, especially in patients with kidney or liver impairment. By assessing these parameters, healthcare providers can gauge the efficacy and safety of Metformin therapy. Checking for resolution of hypothyroidism and hormone normalization is not directly related to evaluating Metformin's effectiveness. Pain reduction and patient alertness are also not the primary indicators for assessing the medical effectiveness of Metformin in managing diabetes.

Correct Answer: B

Rationale: The high alert nursing implication for Morphine is to assess the level of consciousness, blood pressure, pulse, and respiration. Morphine is a potent opioid analgesic that can cause respiratory depression, sedation, and hypotension as side effects. Monitoring the patient's vital signs and neurological status is crucial to detect any signs of overdose or adverse reactions promptly. Maintaining vigilant observation of these parameters can help prevent serious complications and ensure the safe administration of Morphine.

Correct Answer: C

Rationale: The fundamental action of vaccines is prophylaxis, which means the prevention of disease. Vaccines are designed to stimulate the body's immune system to recognize and fight specific pathogens before they cause infection or illness. By introducing a weakened or inactivated form of the pathogen to the body, vaccines trigger an immune response and teach the immune system how to recognize and destroy the pathogen in the future. Through prophylaxis, vaccines help protect individuals from getting sick with certain diseases.