A client with a diagnosed congenital heart disease is prescribed digoxin. What should the nurse include in the client's teaching about this medication?
"Take your pulse before administering the medication."
"Avoid eating green, leafy vegetables while on this medication."
"Increase your daily intake of potassium-rich foods."
"Discontinue the medication if you notice mild nausea occasionally."
The Correct 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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct answer. Genetic factors and chromosomal abnormalities are among the primary causes of congenital heart diseases. These conditions often arise due to errors in heart development during fetal growth.
B) This option is incorrect. While certain environmental factors may increase the risk of congenital heart diseases, they are not the leading cause of these conditions.
C) This option is incorrect. Unhealthy lifestyle choices, such as smoking and alcohol consumption, may contribute to heart diseases in adults, but they are not the primary cause of congenital heart diseases.
D) This option is incorrect. Vaccination is important for preventing certain infections, but it is not directly related to the cause or prevention of congenital heart diseases.
Correct Answer is D
Explanation
A) Incorrect. Taking an over-the-counter pain reliever may not address the underlying cause of the symptoms and is not the appropriate action in this situation.
B) Incorrect. Deep breathing exercises may not alleviate the symptoms of shortness of breath and chest pain. The client should seek medical attention for proper evaluation and management.
C) Incorrect. While resting quietly is generally advisable, it may not be sufficient to address the client's symptoms. Seeking medical attention is essential to identify and manage the cause of the symptoms.
D) The answer is D. Shortness of breath and chest pain can be signs of a cardiac event or worsening of the congenital heart disease. The client should seek medical attention immediately to receive appropriate evaluation and treatment.
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