The nurse is assessing a patient with myocarditis before ...

[kamilo84]

The nurse is assessing a patient with myocarditis before administering the scheduled dose of digoxin (Lanoxin). Which finding is most important for the nurse to communicate to the health care provider?
 
  a. Leukocytosis
  b. Irregular pulse
  c. Generalized myalgia
  d. Complaint of fatigue

Question 2

Which statement by a patient with restrictive cardiomyopathy indicates that the nurse's discharge teaching about self-management has been most effective?
 
  a. I will avoid taking aspirin or other antiinflammatory drugs.
  b. I will need to limit my intake of salt and fluids even in hot weather.
  c. I will take antibiotics when my teeth are cleaned at the dental office.
  d. I should begin an exercise program that includes things like biking or swimming.

[sultana.d]

Answer to Question 1

ANS: B
Myocarditis predisposes the heart to digoxin-associated dysrhythmias and toxicity. The other findings are common symptoms of myocarditis and there is no urgent need to report these.

Answer to Question 2

ANS: C
Patients with restrictive cardiomyopathy are at risk for infective endocarditis and should use prophylactic antibiotics for any procedure that may cause bacteremia. The other statements indicate a need for more teaching by the nurse. Dehydration and vigorous exercise impair ventricular filling in patients with restrictive cardiomyopathy. There is no need to avoid salt (unless ordered), aspirin, or NSAIDs.