Which instruction by the nurse will be included when teaching an adult patient about digoxin (Lanoxin) for management of heart failure?
a. "Report nausea and vomiting to your health care provider."
b. "Decrease the amount of high potassium foods you eat."
c. "Omit your dose of digoxin if your pulse is 60 beats/min."
d. "Visual disturbances are common adverse effects."
ANS: A
Nausea and vomiting are serious adverse effects indicative of toxicity. Low potassium levels can cause toxicity; adequate intake of potassium is necessary. The dose is withheld if the pulse rate is less than 60 beats/min in adults. Visual disturbances are not common adverse effects.
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