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The nurse is reviewing discharge teaching with a client who was newly prescribed digoxin. Which statement, if made by the client, would require follow-up? Select all that apply.1/2Your Score/Max+/- Scoring Rule"I should take my pulse before taking each dose.""This medication will require me to take my weight daily.""This medication will require me to have periodic blood work.""I will ensure I get plenty of potassium in my diet.""If I notice visual changes, I will call my eye doctor.

Question

The nurse is reviewing discharge teaching with a client who was newly prescribed digoxin. Which statement, if made by the client, would require follow-up? Select all that apply.1/2Your Score/Max+/- Scoring Rule"I should take my pulse before taking each dose.""This medication will require me to take my weight daily.""This medication will require me to have periodic blood work.""I will ensure I get plenty of potassium in my diet.""If I notice visual changes, I will call my eye doctor.

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Solution

The statements that would require follow-up are:

  1. "This medication will require me to take my weight daily." - This is not typically necessary for patients taking digoxin. While sudden weight gain can be a sign of fluid retention, a common symptom of worsening heart failure, it's not directly related to the medication itself.

  2. "If I notice visual changes, I will call my eye doctor." - While it's always a good idea to report any changes in vision to your eye doctor, visual changes can also be a sign of digoxin toxicity. Therefore, the patient should also be instructed to report any visual changes to the doctor who prescribed the digoxin.

The other statements are correct:

  • "I should take my pulse before taking each dose." - This is correct. Digoxin can slow the heart rate, so it's important to check your pulse before each dose. If it's too slow, you should skip your dose and contact your doctor.

  • "This medication will require me to have periodic blood work." - This is correct. Regular blood tests are necessary to ensure the digoxin level in your body is within the therapeutic range.

  • "I will ensure I get plenty of potassium in my diet." - This is correct. Digoxin can cause low potassium levels, which can increase the risk of digoxin toxicity. Therefore, maintaining a diet rich in potassium is important.

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