The patient has a history of cardiac disease and receives digoxin (Lanoxin). The nurse determines that education about dietary needs with this medication has been effective when the patient makes which selection for lunch?
1. Cottage cheese, peach salad, and blueberry pie
2. Baked fish, sweet potatoes, and banana pudding
3. Green bean soup, whole-wheat bread, and an apple
4. Hamburger, French fries, and chocolate chip cookies
2
Rationale 1: Cottage cheese, peach salad, and blueberry pie are not significant sources of potassium needed to help prevent digoxin toxicity.
Rationale 2: Fish, sweet potatoes, and bananas are high in potassium, which will help prevent digoxin toxicity.
Rationale 3: Green bean soup, whole-wheat bread, and an apple are not significant sources of potassium needed to help prevent digoxin toxicity.
Rationale 4: The hamburger is high in potassium, but the French fries are not appropriate for a cardiac patient.
Global Rationale: Fish, sweet potatoes, and bananas are high in potassium, which will help prevent digoxin toxicity. The hamburger is high in potassium, but the French fries are not appropriate for a cardiac patient. Green bean soup, whole-wheat bread, and an apple are not significant sources of potassium needed to help prevent digoxin toxicity. Cottage cheese, peach salad, and blueberry pie are not significant sources of potassium needed to help prevent digoxin toxicity.
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