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