A nurse is providing education to a client with heart failure who will begin taking digoxin daily at home. Which of the following statements made by the client indicates an understanding of the teaching? (Select all that apply.)
This medication improves cardiac output by increasing the heart rate.
I will hold my dose and call my doctor if my heart rate is less than 60 beats per minute.
If I forget my daily dose, I will take a double dose the next day.
I will report any loss of appetite or nausea.
Correct Answer : B,D
A. Digoxin improves cardiac output by increasing the force of cardiac contractions, not by increasing the heart rate. In fact, it may slow the heart rate.
B. Holding the dose and calling the doctor if the heart rate is less than 60 beats per minute is correct, as digoxin can cause bradycardia.
C. Doubling the dose is incorrect and dangerous. Missed doses should be handled according to physician instructions, typically by skipping the missed dose and taking the next scheduled dose.
D. Loss of appetite and nausea can be signs of digoxin toxicity and should be reported to the healthcare provider.
E. Frequent urination is not an expected side effect of digoxin; it is more commonly associated with diuretics.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["24"]
Explanation
To calculate the IV pump rate, you'll need to use the formula: (Ordered amount of medication (units/hr) × Volume of fluid in mL) / Amount of medication in the volume = IV pump rate in mL/hr. For the given scenario, the ordered amount is 1,200 units/hr, the volume of fluid is 500 mL, and the amount of medication in the volume is 25,000 units. Plugging these numbers into the formula gives you: (1,200 units/hr × 500 mL) / 25,000 units = 24 mL/hr. Therefore, the nurse should set the IV pump to deliver 24 mL/hr.
Correct Answer is B
Explanation
A. Taking furosemide in the morning helps prevent nocturia and ensures better management of fluid balance during the day.
B. Gaining 3 pounds in 2 days likely indicates fluid retention rather than an issue with calorie intake. The client should contact their healthcare provider as it may indicate worsening heart failure.
C. Avoiding extreme temperatures is important as they can place additional stress on the cardiovascular system.
D. Limiting salt intake to 2 grams or less per day and reading nutrition labels is appropriate for managing heart failure.
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