A nurse teaches a client who is prescribed digoxin (Lanoxin) ...

[Marty]

A nurse teaches a client who is prescribed digoxin (Lanoxin) therapy. Which statement should the nurse include in this client's teaching?
 
  a. Avoid taking aspirin or aspirin-containing products.
  b. Increase your intake of foods that are high in potassium.
  c. Hold this medication if your pulse rate is below 80 beats/min.
  d. Do not take this medication within 1 hour of taking an antacid.

Question 2

A nurse assesses a client after administering isosorbide mononitrate (Imdur). The client reports a headache. Which action should the nurse take?
 
  a. Initiate oxygen therapy.
  b. Hold the next dose of Imdur.
  c. Instruct the client to drink water.
  d. Administer PRN acetaminophen.

[vickyvicksss]

Answer to Question 1

ANS: D
Gastrointestinal absorption of digoxin is erratic. Many medications, especially antacids, interfere with its absorption. Clients are taught to hold their digoxin for bradycardia; a heart rate of 80 beats/min is too high for this cutoff. Potassium and aspirin have no impact on digoxin absorption, nor do these statements decrease complications of digoxin therapy.

Answer to Question 2

ANS: D
The vasodilating effects of isosorbide mononitrate frequently cause clients to have headaches during the initial period of therapy. Clients should be told about this side effect and encouraged to take the medication with food. Some clients obtain relief with mild analgesics, such as acetaminophen. The client's headache is not related to hypoxia or dehydration; therefore, these interventions would not help. The client needs to take the medication as prescribed to prevent angina; the medication should not be held.

[Marty]

Excellent

[tranoy]

Thanks for the timely response, appreciate it