A 72-year-old patient wants to know where her digoxin pill is because she always takes it for her heart. Which of the following is the best response by the nurse?
1. "The health care provider will likely order a different heart medication pill.".
2. "Digoxin doesn't work as well as it used to.".
3. "Digoxin is a bad medication to take.".
4. "Digoxin is no longer manufactured.".
"The health care provider will likely order a different heart medication pill.".
Rationale: The nurse should inform the patient that the health care provider will order a different heart pill than the digoxin. Digoxin is one of several medications or medication classes that should generally be avoided in persons 65 or older because the medications are ineffective or pose unnecessarily high risks for this group, and safer alternatives exist. While it is true that digoxin is not beneficial to a patient of the client's age, telling the patient that the medicine does not work as well as it used to does not address what will be done to replace the medication. The nurse should not tell the patient that digoxin is a bad medication to take, nor that digoxin is no longer manufactured.
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