Author Question: The nurse teaches the patient about digoxin (Lanoxin) toxicity and determines that learning has ... (Read 31 times)

melly21297 · **on:** Jul 23, 2018

The nurse teaches the patient about digoxin (Lanoxin) toxicity and determines that learning has occurred when the patient makes which statement(s)?

1. I should limit my fluids while taking this medication.
2. It is okay to keep taking my ginseng.
3. If I have nausea, it means I must stop the medication.
4. I can drink orange juice every morning.
5. I must check my pulse and not take the medication if it is less than 60.

Question 2

The nurse teaches the patient about lisinopril (Prinivil) and evaluates that additional teaching is required when the patient makes which statement?

1. I will monitor my blood pressure until my next appointment.
2. I will avoid using salt substitutes for seasoning.
3. It takes a while for this medication to take effect.
4. I don't need to worry about having blood tests done.

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

Answer to Question 1

Correct Answer: 3,4,5
Rationale: Orange juice is a source of potassium, which will minimize the risk for digoxin (Lanoxin) toxicity. Nausea, by itself, may be a side effect, but it is not necessarily indicative of digoxin (Lanoxin) toxicity. Sixty beats per minute is the generally accepted limit for withholding digoxin (Lanoxin). Ginseng may increase the risk of digoxin (Lanoxin) toxicity. Dehydration can increase the risk for digoxin (Lanoxin) toxicity; the patient must not limit fluids.

Answer to Question 2

Correct Answer: 4
Rationale: The use of ACE inhibitors can lead to neutropenia, and the patient should be monitored for this side effect by having his absolute neutrophil count (ANC) measured. Potassium should be limited to avoid hyperkalemia. Blood pressure should be monitored to assess effectiveness of the medication. It takes a while for lisinopril (Prinivil) to become effective.