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Free NCLEX-RN Exam Braindumps (page: 154)

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A client has received digoxin 0.25 mg po daily for 2 weeks. Which of the following digoxin levels indicates toxicity?

  1. 0.5 ng/mL
  2. 1.0 ng/mL
  3. 2.0 ng/mL
  4. 3.0 ng/mL

Answer(s): D

Explanation:

(A) 0.5 ng/mL of digoxin is a subtherapeutic level, not a toxic one. (B) 1.0 ng/mL is a therapeutic level. (C) 2.0 ng/mL is a therapeutic level. (D) Digoxin's therapeutic level is 0.8­2.0 ng/mL. Digoxin's toxic level is >2.0 ng/mL.



A client has received digoxin 0.25 mg po daily for 2 weeks. Which of the following digoxin levels indicates toxicity?

  1. 0.5 ng/mL
  2. 1.0 ng/mL
  3. 2.0 ng/mL
  4. 3.0 ng/mL

Answer(s): D

Explanation:

(A) 0.5 ng/mL of digoxin is a subtherapeutic level, not a toxic one. (B) 1.0 ng/mL is a therapeutic level. (C) 2.0 ng/mL is a therapeutic level. (D) Digoxin's therapeutic level is 0.8­2.0 ng/mL. Digoxin's toxic level is >2.0 ng/mL.



Primary nursing diagnoses for the antisocial client are:

  1. Alteration in perception and altered self-concept
  2. Impaired social interaction, ineffective individual coping, and altered self-concept
  3. Altered communication processes and altered recreational patterns
  4. Altered body image and altered thought processes

Answer(s): B

Explanation:

(A) This answer is incorrect. Perception is not altered because the client is not psychotic. (B) This answer is correct. The antisocial client lacks responsibility, accountability, and social commitment; has impaired problem-solving ability; tends to overuse defense mechanisms; lies and steals; and is often grandiose concerning self. (C) This answer is incorrect. Altered communication processes do not characterize this client.
The antisocial person communicates well and tends to have a charming personality. (D) This answer is incorrect. Altered thought processes refer to delusional thinking, which is bizarre and fixed, and do not characterize this client.



Primary nursing diagnoses for the antisocial client are:

  1. Alteration in perception and altered self-concept
  2. Impaired social interaction, ineffective individual coping, and altered self-concept
  3. Altered communication processes and altered recreational patterns
  4. Altered body image and altered thought processes

Answer(s): B

Explanation:

(A) This answer is incorrect. Perception is not altered because the client is not psychotic. (B) This answer is correct. The antisocial client lacks responsibility, accountability, and social commitment; has impaired problem-solving ability; tends to overuse defense mechanisms; lies and steals; and is often grandiose concerning self. (C) This answer is incorrect. Altered communication processes do not characterize this client.
The antisocial person communicates well and tends to have a charming personality. (D) This answer is incorrect. Altered thought processes refer to delusional thinking, which is bizarre and fixed, and do not characterize this client.






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