The nurse is preparing to administer doses of hydrochlorothiazide (HydroDIURIL) and digoxin (Lanoxin) to a patient who has heart failure. The patient reports having blurred vision. The nurse notes a heart rate of 60 beats per minute and a blood pressure of $140 / 78 \mathrm{~mm} \mathrm{Hg}$. Which action will the nurse take?

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Question 1 of 5

The nurse is preparing to administer doses of hydrochlorothiazide (HydroDIURIL) and digoxin (Lanoxin) to a patient who has heart failure. The patient reports having blurred vision. The nurse notes a heart rate of 60 beats per minute and a blood pressure of $140 / 78 \mathrm{~mm} \mathrm{Hg}$. Which action will the nurse take?

Correct Answer: C

Rationale: Blurred vision and bradycardia suggest digoxin toxicity, so hold and notify provider.

Question 2 of 5

A 17-year-old boy crashes his BMX bicycle and is brought into the emergency department. Physical examination reveals blood at the penile meatus. What is your first step in diagnosis?

Correct Answer: B

Rationale: Retrograde urethrogram assesses urethral tear before catheter placement to avoid damage.

Question 3 of 5

A nurse cares for adult clients who experience urge incontinence. For which client should the nurse plan a habit training program?

Correct Answer: A

Rationale: Habit training suits confused clients with scheduled toileting, despite awareness issues.

Question 4 of 5

The nurse is caring for four clients with chronic kidney disease. Which client should the nurse assess first upon initial rounding?

Correct Answer: B

Rationale: Kussmaul respirations indicate worsening CKD and acidosis; it's the priority.

Question 5 of 5

When a patient's urine dipstick test indicates a small amount of protein, the nurse's next action should be to

Correct Answer: C

Rationale: Some medications cause false-positive protein readings; checking this is the priority.

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