The nurse is reinforcing teaching with a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include?

Check the pulse rate for 30 seconds and multiply the result by 2

Increase intake of sodium

Contact the health care provider for heart rate less than 60/min

Take the medication with food if you develop nausea

Answer and Explanation

The Correct Answer is C

A. Checking the pulse rate for 30 seconds and multiplying by 2 may not be accurate enough for a medication like digoxin, which requires precise monitoring.
B. Increasing sodium intake is not recommended for heart failure patients as it can worsen fluid retention and exacerbate symptoms.
C. Digoxin can cause bradycardia; therefore, it is crucial for clients to monitor their heart rate and contact their healthcare provider if it falls below 60/min to avoid adverse effects.
D. Taking digoxin with food can help with nausea but is not as critical as monitoring heart rate for potential toxicity.

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Correct Answer is A

Explanation

A. Contacting the provider to clarify the prescription is the most direct and appropriate action to ensure accuracy and prevent medication errors.
B. Interpreting the prescription according to the client's medical history can lead to errors and is not a safe practice.
C. Clarifying the prescription with the family is not appropriate as they may not have the necessary knowledge or authority to interpret medical orders.
D. Asking the pharmacist for clarification can help, but the pharmacist may also have difficulty reading the handwriting. The most reliable approach is to directly contact the provider.

A. Plan to take the medication at bedtime B. Expect increased swelling of the ankles C. Take your weight at the same time every day. D. Limit fluid intake in the morning

Correct Answer is C

Explanation

A. Hydrochlorothiazide should not be taken at bedtime as it is a diuretic and can cause nocturia.
B. Increased swelling of the ankles is not an expected effect of hydrochlorothiazide and could indicate worsening heart failure or other issues.
C. Taking weight at the same time every day helps monitor fluid status and the effectiveness of the diuretic.
D. Limiting fluid intake in the morning is not recommended, as adequate hydration is important while taking diuretics.

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The nurse is reinforcing teaching with a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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