Question

a client is being discharged following treatment for left - sided heart failure. the nurse is reinforcing teaching the client the purpose, actions, adverse effects, and use of digoxin and hydrochlorothiazide prescribed to be daily use. which statement by the client indicates a need for further teaching? answer options: 1 \these medications will cause an increase in urine output.\ 2 \i should take my radial pulse before taking these medications.\ 3 \i should decrease my intake of foods high in potassium such as bananas.\ 4 \these medications should be taken in the morning rather than in the evening.\

Explanation:

1. Analyze Option 1: Digoxin (cardiac glycoside) and hydrochlorothiazide (diuretic) - diuretics increase urine output, so this statement is correct.
2. Analyze Option 2: For digoxin, checking the radial pulse (or apical) before administration is standard to assess for bradycardia, so this is correct.
3. Analyze Option 3: Hydrochlorothiazide is a thiazide diuretic that causes potassium loss (hypokalemia). Digoxin toxicity is more likely with hypokalemia. So, the client should increase (not decrease) potassium intake (e.g., bananas are high in potassium). This statement shows a lack of understanding, indicating a need for further teaching.
4. Analyze Option 4: Taking diuretics in the morning prevents nocturia (nighttime urination), so taking them in the morning is correct.

Answer:

1. "I should decrease my intake of foods high in potassium such as bananas."