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) The answer is A. Before administering furosemide, it is essential to assess the child's respiratory rate because this medication is a loop diuretic that can lead to fluid and electrolyte imbalances, including hypokalemia. Respiratory rate assessment helps monitor for signs of respiratory distress, especially in clients with heart failure.
B) Incorrect. While monitoring the child's blood pressure is essential, it is not the priority action before administering furosemide. Blood pressure may be affected by the diuretic action of the medication, but respiratory status is more critical to assess initially.
C) Incorrect. Although monitoring electrolyte levels is important when administering furosemide, it is not the priority action. Assessing the child's respiratory rate takes precedence to identify any respiratory distress.
D) Incorrect. Determining the child's weight is relevant in assessing the effectiveness of furosemide therapy. However, it is not the priority action before administering the medication. Respiratory assessment is more critical for immediate intervention.
Questions
Correct Answer is D
Explanation
A) Incorrect. Not all congenital heart diseases resolve on their own. While some may improve over time, it is essential for the client to follow their healthcare provider's recommendations for monitoring and treatment.
B) Incorrect. While breastfeeding has many benefits for infants, it may not directly impact the congenital heart disease. The nurse should focus on educating the client about managing the specific heart condition.
C) Incorrect. Avoiding vaccinations and routine check-ups is not recommended. Regular check-ups and vaccinations are crucial for overall health, and the healthcare provider will guide the client regarding any specific precautions or modifications needed due to the heart condition.
D) The answer is D. Clients with congenital heart diseases are at increased risk of infections, so it is essential to educate the client about infection prevention measures, such as limiting contact with other children during times of increased risk.
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