Which client is at the greatest risk of digoxin toxicity?

Questions 45

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Questions for Cardiovascular Assessment Questions

Question 1 of 5

Which client is at the greatest risk of digoxin toxicity?

Correct Answer: B

Rationale: Furosemide can cause hypokalemia, which increases the risk of digoxin toxicity.

Question 2 of 5

What is the most important nursing consideration for a patient with renal failure prescribed spironolactone?

Correct Answer: A

Rationale: Spironolactone is a potassium-sparing diuretic, and patients with renal failure are at higher risk for hyperkalemia. Monitoring potassium levels is crucial.

Question 3 of 5

The first chamber of the heart the blood from the body enters is the:

Correct Answer: B

Rationale: The right atrium receives deoxygenated blood from the body via the vena cavas.

Question 4 of 5

A patient presents to the hospital with head trauma. He has an elevated sodium level and a large volume of dilute urine. He is found to have diabetes insipidus. Which is most true:

Correct Answer: A

Rationale: Head trauma can cause central diabetes insipidus (DI) by damaging the pituitary or hypothalamus, leading to reduced ADH and resulting in dilute urine and hypernatremia. This can be partial or complete, making A correct. DDAVP is effective only in central DI, not nephrogenic, and fluid restriction is inappropriate here.

Question 5 of 5

A 76 yo male, diabetic, smoker is seen in the office with exertional bilateral leg discomfort after walking 1 block. He has a history of chronic low back pain and hyperlipidemia. You perform an exam including ABI's and they are 1.1 on the right and 0.9 on the left. You recommend to the patient:

Correct Answer: B

Rationale: ABI of 0.9 suggests borderline PAD, and exertional symptoms in a high-risk patient warrant further evaluation with exercise ABI testing to confirm obstructive PAD.

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