Question

The nurse teaches the patient about digoxin (Lanoxin) toxicity and determines that learning has occurred when the patient makes which statement(s)? Select all that apply.

1. "I should limit my fluids while taking this medication."
2. "It is okay to keep taking my ginseng."
3. "If I have nausea, it means I must stop the medication."
4. "I can drink orange juice every morning."
5. "I must check my pulse and not take the medication if it is less than 60."

Answer 1

The correct statements related to digoxin toxicity that indicate the patient has learned the precautions are experiencing nausea as a possible sign of toxicity and checking the pulse before taking the medication. Limiting fluids and continuing the use of ginseng are inappropriate responses, and drinking orange juice is generally safe.

Step-by-step explanation:

The nurse teaching a patient about digoxin (Lanoxin) toxicity will consider learning effective when the patient acknowledges certain key points. The correct statements that indicate understanding of digoxin toxicity are:

• “If I have nausea, it means I must stop the medication.” Nausea can be a sign of digoxin toxicity, and patients should be advised to contact their healthcare provider if they experience this symptom.
• “I must check my pulse and not take the medication if it is less than 60.” Digoxin can slow the heart rate; therefore, if the pulse is below 60 beats per minute, it may be indicative of toxicity, and the medication should not be taken until consulting with a healthcare provider.

Statements like “I should limit my fluids while taking this medication,” and “It is okay to keep taking my ginseng,” are incorrect because adequate hydration is important and herbal supplements like ginseng can interact with digoxin. Drinking orange juice is generally safe unless the patient has been specifically advised to avoid it due to other medical concerns.