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.
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Related Questions
Correct Answer is D
Explanation
A) This option is incorrect. Middle-aged adults are not considered a high-risk population for congenital heart diseases. These conditions are primarily present from birth.
B) This option is incorrect. Elderly individuals are not at high risk for congenital heart diseases since these conditions are typically diagnosed at birth or during childhood.
C) This option is incorrect. While prenatal diagnosis of certain congenital heart diseases is possible through fetal echocardiography, pregnant women themselves are not at a higher risk for developing these conditions.
D) Correct answer. Neonates and infants are the highest-risk population for congenital heart diseases because these conditions are typically present from birth and may become apparent shortly after delivery or during infancy.
Correct Answer is A
Explanation
A) The answer is A. Prophylactic antibiotics are often given before surgical procedures to prevent infection, especially in clients with congenital heart diseases who may be at a higher risk of endocarditis.
B) Incorrect. While it's essential for the client to take precautions after surgery to reduce the risk of infection, avoiding contact with others for two weeks is not necessary or practical. Instead, following proper wound care and taking prescribed medications as instructed are more relevant measures.
C) Incorrect. Discharging the client early from the hospital does not necessarily reduce the risk of infection. Postoperative care and wound management are crucial to prevent infection, regardless of the length of the hospital stay.
D) Incorrect. All surgical procedures carry some risk of infection. While healthcare providers take measures to minimize this risk, it is not accurate to claim there is no risk at all.
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