A nurse is caring for a client who has leukemia. Which of the following findings is the highest priority for the nurse to report to the provider?

Choice A reason: Eliminating egg whites from the diet is not necessary, as they are a good source of protein and do not contain any fat or cholesterol. The client should limit or avoid egg yolks, which are high in cholesterol and saturated fat.

Choice B reason: Using coconut oil when preparing food is not advisable, as it is a source of saturated fat that can raise blood cholesterol levels and increase the risk of atherosclerosis and heart disease. The client should use unsaturated fats, such as olive oil or canola oil, which can lower blood cholesterol levels and improve heart health.

Choice C reason: Eating fish three times a week is a good practice, as fish are rich in omega-3 fatty acids that can reduce inflammation, lower blood pressure, and prevent blood clots that can cause heart attacks or strokes. The client should choose oily fish, such as salmon, tuna, or mackerel, which have higher amounts of omega-3 fatty acids.

Choice D reason: Including 2 percent milk in the diet is not recommended, as it contains more fat and calories than skim or 1 percent milk. The client should choose low-fat or fat-free dairy products, such as yogurt, cheese, or milk, which can provide calcium and protein without excess fat.

Choice A reason: Blurred vision is not an expected side effect of digoxin, but a sign of digoxin toxicity, which requires immediate medical attention.

Choice B reason: This is the correct answer because digoxin can cause hypokalemia (low potassium levels), which increases the risk of digoxin toxicity. Therefore, clients taking digoxin need to have their potassium levels monitored regularly and consume foods rich in potassium.

Choice C reason: Antacids can interfere with the absorption of digoxin and reduce its effectiveness. Clients taking digoxin should avoid taking antacids within two hours of taking the medication.

Choice D reason: Weighing oneself every other day is not related to digoxin therapy, but to fluid balance. Clients with heart failure, who are often prescribed digoxin, need to monitor their weight daily and report any significant changes to their health care provider.