The nurse is caring for a client who is prescribed digoxin (Lanoxin) for a cardiac dysrhythmia. The nurse teaches the client about digoxin (Lanoxin) toxicity and determines that learning has occurred when the client makes which statements?
Standard Text: Select all that apply.
1. "It is okay to keep taking my ginseng."
2. "I can drink orange juice every morning."
3. "If I have nausea I will notify my health care provider."
4. "I must check my pulse, and not take the medication if it is less than 60."
5. "I should limit my fluids while taking this medication."
Correct Answer: 2,3,4
Rationale 1: Ginseng can increase the risk of digoxin (Lanoxin) toxicity.
Rationale 2: Orange juice is a source of potassium, which will minimize the risk for digoxin (Lanoxin) toxicity.
Rationale 3: Nausea can be an expected side effect or it can indicate digoxin (Lanoxin) toxicity. The client should notify the health care provider for further investigation.
Rationale 4: Sixty beats per minute is the generally accepted limit for withholding digoxin (Lanoxin).
Rationale 5: Dehydration can increase the risk for digoxin (Lanoxin) toxicity; the client must not limit fluids.
Global Rationale: Orange juice is a source of potassium, which will minimize the risk for digoxin (Lanoxin) toxicity. Nausea can be an expected side effect or it can indicate digoxin (Lanoxin) toxicity. The client should notify the health care provider for further investigation. Sixty beats per minute is the generally accepted limit for withholding digoxin (Lanoxin). Ginseng can increase the risk of digoxin (Lanoxin) toxicity. Dehydration can increase the risk for digoxin (Lanoxin) toxicity; the client must not limit fluids.
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