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Chapter 34: Problem 150

A client is taking digoxin (Lanoxin) for atrial fibrillation and cardiomegally. Which assessment finding requires the nurse to notify the physician of a potential adverse effect? A. Abdominal pain and nausea B. Rhythm change to normal sinus rhythm C. Heart rate of 62 D. Weight gain of \(1 / 2\) pound

Short Answer

Expert verified
A. Abdominal pain and nausea

Step by step solution

01

Identify the Purpose of Digoxin

Digoxin (Lanoxin) is commonly used to treat atrial fibrillation and heart failure by improving the strength and efficiency of the heart, as well as controlling the rate and rhythm of the heartbeat.
02

Recognize Common Adverse Effects

Common adverse effects of digoxin include gastrointestinal symptoms (like abdominal pain and nausea), vision changes, confusion, irregular heartbeat, and weakness.
03

Analyze Each Option

Evaluate each assessment finding in relation to common adverse effects of digoxin and patient safety: - Abdominal pain and nausea (common adverse effects) - Rhythm change to normal sinus rhythm (desired effect) - Heart rate of 62 (slightly low, monitor but not immediately alarming) - Weight gain of 1/2 pound (minor change)
04

Determine the Critical Finding

Among the options, abdominal pain and nausea are the most indicative of a potential adverse effect that requires notifying the physician.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Digoxin Adverse Effects
Digoxin, also known by its brand name Lanoxin, is a medication that helps manage conditions like atrial fibrillation and heart failure. While it can be very effective, it can also have some serious side effects. Recognizing these adverse effects is critical for ensuring patient safety.
Common adverse effects of digoxin include:
  • Gastrointestinal symptoms such as abdominal pain, nausea, and vomiting
  • Cardiovascular issues like irregular heartbeats and changes in heart rhythm
  • Neurological symptoms such as confusion and dizziness
  • Visual disturbances, including blurred or yellow vision
If a patient exhibits any of these symptoms, it is important to alert a healthcare provider immediately. Early detection can help prevent more severe complications.
Atrial Fibrillation Management
Atrial fibrillation (AFib) is a common heart condition characterized by an irregular and often rapid heartbeat. Managing AFib effectively often involves a combination of medication, lifestyle changes, and sometimes surgical procedures.
Medications for controlling heart rate and rhythm include:
  • Beta-blockers
  • Calcium channel blockers
  • Anticoagulants to prevent blood clots
  • Digoxin for cases requiring additional support
In addition to medication, lifestyle changes can significantly impact AFib management. Patients are advised to:
  • Avoid excessive alcohol and caffeine
  • Engage in regular physical activity
  • Maintain a healthy weight
  • Manage stress levels through relaxation techniques like yoga or meditation
Surgical options, such as catheter ablation, may be recommended for severe cases. Routine monitoring by a healthcare provider is essential for adjusting treatment plans as needed.
Clinical Assessment for Nursing
Clinical assessment is a fundamental skill in nursing that involves gathering information to make informed decisions about patient care. When caring for patients on medications like digoxin, precise assessment can help identify adverse effects early on.
Key components of clinical assessment include:
  • Physical examination: Checking vital signs, such as heart rate, blood pressure, and respiratory rate
  • Patient history: Reviewing past medical history, medication use, and current symptoms
  • Laboratory tests: Monitoring blood levels, electrolytes, and kidney function to gauge the effectiveness and safety of medications
  • Symptom assessment: Asking detailed questions about how the patient feels, including any new or worsening symptoms
In the case of digoxin, specific assessments should focus on:
  • Heart rate and rhythm: Monitoring for any irregularities
  • Gastrointestinal symptoms: Checking for signs of nausea, vomiting, or abdominal pain
  • Neurological status: Assessing for confusion, dizziness, or vision changes
  • Overall well-being: Evaluating weight gain or loss and general physical condition
Effective clinical assessment helps create a comprehensive understanding of the patient's health, guiding timely interventions and ensuring proper medication use.

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Most popular questions from this chapter

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