A client with a congenital heart disease is prescribed enalapril. The nurse should instruct the client to avoid consuming which food while on this medication?

A) The answer is A. Weight gain of 1 pound in a week can indicate fluid retention, which may be a sign of digoxin toxicity. The nurse should instruct the client to report this symptom immediately to prevent further complications.

B) Incorrect. A heart rate below 100 beats per minute is within the normal range for most clients. A lower heart rate is often expected in clients taking digoxin, and it does not require immediate reporting unless accompanied by other concerning symptoms.

C) Incorrect. Occasional episodes of diarrhea are common side effects of digoxin. The client should report persistent or severe diarrhea, but occasional episodes may not be a cause for immediate concern.

D) Incorrect. Mild swelling of the ankles after activity is not directly related to digoxin use. The nurse should monitor the client's ankles for any worsening swelling, but it does not require immediate reporting unless accompanied by other concerning symptoms.

The answer is A

A) The answer is A. Digoxin is commonly prescribed for clients with congenital heart diseases to improve cardiac contractility. It is essential to monitor the heart rate before administration since digoxin can cause bradycardia as a side effect.

B) Incorrect. The statement is not accurate. There is no need to avoid green, leafy vegetables while taking digoxin. However, the client should be informed about potential drug interactions and follow a balanced diet.

C) Incorrect. Clients taking digoxin should be cautious about consuming potassium-rich foods, as hypokalemia (low potassium levels) can potentiate the effects of digoxin and lead to toxicity.

D) Incorrect. Mild nausea can be a common side effect of digoxin, and the client should not discontinue the medication without consulting their healthcare provider. Instead, they should report any adverse effects for proper evaluation.