The patient has heart failure and receives digoxin (Lanoxin). Prior to discharge, what will the best teaching plan by the nurse include?
1. "Report development of a metallic taste in the mouth."
2. "Report mental changes such as depression."
3. "Stop the medication if your pulse is irregular."
4. "If you miss a dose, take two doses."
2
Rationale 1: Metallic taste is not associated with digoxin.
Rationale 2: Depression may occur with this drug.
Rationale 3: If the pulse is irregular, the patient should notify the physician and not stop the medication unless directed to do so.
Rationale 4: Patients should not take a double dose; this is considered an overdose that could lead to toxicity.
Global Rationale: Depression may occur with this drug. Metallic taste is not associated with digoxin. If the pulse is irregular, the patient should notify the physician and not stop the medication unless directed to do so. Patients should not take a double dose; this is considered an overdose that could lead to toxicity.
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