Author Question: A client with heart failure has been digitalized. The client requires long-term digoxin therapy. ... (Read 30 times)

SAVANNAHHOOPER23 · **on:** Jul 23, 2018

A client with heart failure has been digitalized. The client requires long-term digoxin therapy. Which of the following instructions should the nurse provide the client on discharge?

A) Take the drug with high-fiber meals.
B) Report to the center if the pulse is less than 70 bpm.
C) Take antacids promptly to avoid gastric problems.
D) Take the drug regularly without skipping a dose.

Question 2

A client has been admitted to a health care center with complaints of dyspnea. The nurse suspects left-sided heart failure based on assessment of which of the following?

A) Nocturia
B) Pitting edema
C) Weight gain
D) Orthopnea

jxjsniuniu · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: D
Feedback:
The nurse should instruct the client to take the drug regularly without skipping a dose. The client should consult the provider before discontinuing the drug. Taking the drug with high-fiber meals will decrease the absorption of the drug. The client should be advised to report to the center if the pulse is less than 60 bpm. Antacids should not be taken as they alter the plasma digoxin levels.

Answer to Question 2

Ans: D
Feedback:
The nurse should assess for orthopnea in clients with left-sided heart failure. Orthopnea is a condition where the client experiences difficulty in breathing on lying down. The other features of left ventricular failure include a hacking cough or wheezing, restlessness, and anxiety. Nocturia, pitting edema, and weight gain are associated with right-sided heart failure.