The patient has a history of cardiac disease and receives digoxin ...

[P68T]

The patient has a history of cardiac disease and receives digoxin (Lanoxin). The nurse determines that education about dietary needs with this medication has been effective when the patient makes which selection for lunch?
 
  1. Cottage cheese, peach salad, and blueberry pie
  2. Baked fish, sweet potatoes, and banana pudding
  3. Green bean soup, whole-wheat bread, and an apple
  4. Hamburger, French fries, and chocolate chip cookies

Question 2

The patient has heart failure and receives digoxin (Lanoxin). Prior to discharge, what will the best teaching plan by the nurse include?
 
  1. Report a weight gain of 2 or more pounds per day.
  2. Report mental changes such as euphoria.
  3. Stop the medication if your pulse is 56.
  4. If you miss a dose, take two doses.

[jessicaduplan]

Answer to Question 1

Correct Answer: 2
Rationale: Fish, sweet potatoes, and bananas are high in potassium, which will help prevent digoxin toxicity. The hamburger is high in potassium, but the French fries are not appropriate for a cardiac patient. Green bean soup, whole-wheat bread, and an apple are not significant sources of potassium needed to help prevent digoxin toxicity. Cottage cheese,peach salad, and blueberry pie are not significant sources of potassium needed to help prevent digoxin toxicity.

Answer to Question 2

Correct Answer: 1
Rationale: Weight gain could indicate fluid retention and a worsening of heart failure. Patients should not take a double dose; this is considered an overdose that could lead to toxicity. If the pulse is 56, the patient should notify the physician, and not stop the medication unless directed to do so. Mental depression is more likely to occur than euphoria.