Final answer:
The best teaching for a patient discharged on digoxin includes reporting significant weight gain, as it indicates potential fluid retention and worsening heart failure. The patient should also know the correct actions to take if they miss a dose and feel unwell, and not to adjust their medication without professional advice to avoid risks of toxicity.
Step-by-step explanation:
The best teaching plan by the nurse for a patient with heart failure who receives digoxin (Lanoxin) prior to discharge should include reporting a weight gain of 2 or more pounds per day. This is because sudden weight gain may indicate worsening heart failure due to fluid retention. The nurse should educate the patient to monitor their weight daily, and report any significant changes to their healthcare provider. While mental changes such as euphoria and checking pulse are also important, the patient should be specifically taught when to report changes related to their condition and not to alter the prescribed dosage regimen without consulting their physician.
Instruction to stop the medication if your pulse is 56 might be given if the heart rate falls below a certain threshold because digoxin can slow the heart rate. However, this should be clarified with the healthcare provider as well. The advice to "If you miss a dose, take two doses" is incorrect and can lead to digoxin toxicity. Engaging in medication management, recognizing potential side effects, and understanding the importance of consistent medication adherence are all crucial components of patient education for those taking digoxin.