NCLEX-RN · Question #794
Prior to his discharge from the hospital, a cardiac client is started on digoxin (Lanoxin) 25 mg po qd. The nurse initiates discharge teaching. Which of the following statements by the client would…
The correct answer is A. "I would notify my physician immediately if I experience nausea, vomiting, and double vision.". (A) The first signs of digoxin toxicity include abdominal pain, anorexia, nausea, vomiting, and visual disturbances. The physician should be notified if any of these symptoms are experienced. (B) The positive inotropic effects of digoxin increase cardiac output and result in an…
Question
Prior to his discharge from the hospital, a cardiac client is started on digoxin (Lanoxin) 25 mg po qd. The nurse initiates discharge teaching. Which of the following statements by the client would validate an understanding of his medication?
Options
- A"I would notify my physician immediately if I experience nausea, vomiting, and double vision."
- B"I could stop taking this medication when I begin to feel better."
- C"I should only take the medication if my heart rate is greater than 100 bpm."
- D"I should always take this medication with an antacid."
How the community answered
(60 responses)- A72% (43)
- B3% (2)
- C18% (11)
- D7% (4)
Explanation
(A) The first signs of digoxin toxicity include abdominal pain, anorexia, nausea, vomiting, and visual disturbances. The physician should be notified if any of these symptoms are experienced. (B) The positive inotropic effects of digoxin increase cardiac output and result in an enhanced activity tolerance. "Feeling better" indicates the drug is working and medication therapy must be (C) Clients should be taught to take their pulse prior to taking the digoxin. If their pulse rate becomes irregular, slows significantly, or is >100 bpm the physician should be notified. (D) Antacids decrease the effectiveness of digoxin.
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