A client who is diagnosed with heart failure is prescribed digoxin (Lanoxin). Prior to discharge, what will the best teaching plan of the nurse include?
1. "If you miss a dose, take two doses."
2. "Report mental changes such as euphoria."
3. "Stop the medication if your pulse is 56."
4. "Report a weight gain of two or more pounds per day."
Correct Answer: 4
Rationale 1: Clients should not take a double dose; this is considered an overdose and could lead to toxicity.
Rationale 2: Mental depression is more likely to occur than is euphoria.
Rationale 3: If the pulse is 56, the client should notify the health care provider, and not stop the medication unless directed to do so.
Rationale 4: Weight gain could indicate fluid retention and a worsening of heart failure.
Global Rationale: Weight gain could indicate fluid retention and a worsening of heart failure. Clients should not take a double dose; this is considered an overdose and could lead to toxicity. Mental depression is more likely to occur than is euphoria. If the pulse is 56, the client should notify the health care provider, and not stop the medication unless directed to do so.
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