A health care provider has discontinued the client's medication, digoxin (Lanoxin). Recalling that this drug undergoes enterohepatic recirculation, which statement does the nurse make to the client?
1. "You might continue to have effects of the drug for a few weeks."
2. "You might experience some toxic effects from the drug in the next few days."
3. "Expect to experience some side effects until the drug is totally eliminated."
4. "The drug will be totally out of your system in the next 48 hours."
Correct Answer: 1
Rationale 1: Since the drug is recirculated several times through enterohepatic recirculation, continued effects of the drug may be expected.
Rationale 2: The client should expect to continue experiencing some effects of the drug, but not toxic effects.
Rationale 3: The client might have some side effects of the drug if she has been having them all along, but she should not be told to expect side effects.
Rationale 4: The drug might take several weeks to be totally eliminated from the body.
Global Rationale: Since the drug is recirculated several times through enterohepatic recirculation, continued effects of the drug may be expected. The client should expect to continue experiencing some effects of the drug, but not toxic effects. The client might have some side effects of the drug if she has been having them all along, but she should not be told to expect side effects. The drug might take several weeks to be totally eliminated from the body.
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