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[ANSWER] Scenario 4 J.F, a 47 year old male is being treated with digoxin for congestive heart failure.

Danny Green

05 Feb 2026 — 1 min read

Scenario 4

J.F, a 47 year old male is being treated with digoxin for congestive heart failure. Before administration of the next dose, the nurse notes an apical pulse of 55 beats per minute. J.F complains of nausea and vision changes.

J.F asks how digoxin can help his condition. How does the nurse respond? (USLO 5.2, 5.3, 5.4)
How does right- and left-sided heart failure present differently? (USLO 5.1)
Should the next dose of digoxin be administered? Why or why not? (USLO 5.3, 5.6, 5.8)
What are the complaints of J.F likely a result of and how is this rectified? (USLO 5.6, 5.8)

RELATED: Scenario 2 T.M, a 57-year-old man, has thrombophlebitis in the right lower leg.

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