A nurse is providing education to a client with heart failure who will begin taking digoxin daily at home. Which of the following statements made by the client indicates an understanding of the teaching? (Select all that apply.)

This medication improves cardiac output by increasing the heart rate.

I will hold my dose and call my doctor if my heart rate is less than 60 beats per minute.

If I forget my daily dose, I will take a double dose the next day.

I will report any loss of appetite or nausea.

Answer and Explanation

Correct Answer : B,D

A. Digoxin improves cardiac output by increasing the force of cardiac contractions, not by increasing the heart rate. In fact, it may slow the heart rate.
B. Holding the dose and calling the doctor if the heart rate is less than 60 beats per minute is correct, as digoxin can cause bradycardia.
C. Doubling the dose is incorrect and dangerous. Missed doses should be handled according to physician instructions, typically by skipping the missed dose and taking the next scheduled dose.
D. Loss of appetite and nausea can be signs of digoxin toxicity and should be reported to the healthcare provider.
E. Frequent urination is not an expected side effect of digoxin; it is more commonly associated with diuretics.

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Correct Answer is A

Explanation

A. This statement indicates a lack of understanding about hidden sodium in restaurant foods. Many restaurant dishes contain high levels of sodium, even if additional salt is not added at the table. The client needs to be educated about choosing low-sodium options when dining out and asking about the sodium content of meals.
B. This statement reflects correct understanding, as fresh vegetables typically contain less sodium than canned vegetables, which often have added salt.
C. This statement shows proper knowledge, as reading nutrition labels helps identify foods with high sodium content, allowing for better dietary choices.
D. This statement is appropriate, as using lemon juice and herbs is a good alternative to adding salt for flavoring food.

A. “The nurse I had yesterday told me that a vein in my neck was bulging." B. "Both of my legs and feet are so swollen." C. “I feel like fluid has been building up in my abdominal area." D. "I have been coughing up pink, frothy sputum."

Correct Answer is D

Explanation

A. Jugular vein distention (JVD) is more commonly associated with right-sided heart failure, not left-sided heart failure.
B. Peripheral edema is also more commonly associated with right-sided heart failure.
C. Ascites or fluid accumulation in the abdomen is typically associated with right-sided heart failure.
D. Pink, frothy sputum is indicative of pulmonary edema, which is a common symptom of left-sided heart failure due to the backup of blood into the lungs.

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A nurse is providing education to a client with heart failure who will begin taking digoxin daily at home. Which of the following statements made by the client indicates an understanding of the teaching? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A low-sodium diet is prescribed for a client who has fluid volume overload due to chronic heart failure. The nurse recognizes that additional teaching is necessary when the client makes which statement?

Correct Answer is A

Explanation

The nurse is caring for a client who has left-sided heart failure. Which statement made by the patient would be consistent with left-sided heart failure?

Correct Answer is D

Explanation

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