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The nurse is caring for a 55-year old male patient, who is prescribed  0.25mg Digoxin IV every morning  The nurse notes that the morning labs are as follows: Digoxin level 1.2 ng.ml (0.8-2.0 ng/ml) BUN 15 mg/dl (7-20 mg/dl) Creatinine 1 mg/dl (0.74-1.35 mg/dl) Potassium  2.8 mEq/L (3.5-5.5 mEq/L) Glucose 68 mg/dL (70-115 mg/dL) Hemoglobin 10g/dL (13.5-16.5 g/dL) The heart rate is 61 bpm apically and is irregularly irregular, BP is 100/60 manually  Which of the following patient findings require that the nurse hold the dose of Digoxin and notify the physician?

A parent asks the nurse, “The doctor said my baby has aortic valve stenosis.  What does that mean?”  What would be the best response by the nurse?

The client who has had a mechanical aortic valve replacement asks the nurse why he must take anticoagulants for the rest of his life.  Which of the following is the nurse’s best response?

The nurse is caring for a 55-year old male patient, who is prescribed  0.25mg Digoxin IV every morning  The nurse notes that the morning labs are as follows: Digoxin level 1.2 ng.ml (0.8-2.0 ng/ml) BUN 15 mg/dl (7-20 mg/dl) Creatinine 1 mg/dl (0.74-1.35 mg/dl) Potassium  2.8 mEq/L (3.5-5.5 mEq/L) Glucose 68 mg/dL (70-115 mg/dL) Hemoglobin 10g/dL (13.5-16.5 g/dL) The heart rate is 61 bpm apically and is irregularly irregular, BP is 100/60 manually  Which of the following patient findings require that the nurse hold the dose of Digoxin and notify the physician?

A child is admitted to the pediatric unit with a serum sodium level of 118 mEq/L (normal range 135-145 mEq/L). Which nursing action is the highest priority?

The nurse is caring or a child with tetralogy of Fallot who experiences an episode of crisis (“tet spell”).  Which of the following is the primary assessment finding of this type of event?

The client with chronic kidney disease is placed on a fluid restriction of 1,500 ml per day.  On the 7am-7pm shift the client drank the following: 8 ounce cup of coffee 8 ounce cup of apple juice 16 ounces of green tea 8 ounces of water with medications What amount of fluid can the 7pm-7am nurse give to the client? (Please answer the numerical answer only, no labels). Round to the nearest whole number.

The nurse is caring or a child with tetralogy of Fallot who experiences an episode of crisis (“tet spell”).  Which of the following is the primary assessment finding of this type of event?

A client is admitted to the hospital with a diagnosis of infective endocarditis from Streptococcus viridans.The client asks the nurse about the antibiotic therapy that will be given.  Knowing that the client has no medication allergies, the nurse prepares the client to receive:

The patient presents to the Emergency Department with this rhythm.  What signs and symptoms will the nurse anticipate?  Select all that apply.