What instruction should a nurse give to a client receiving digoxin before discharge?

The instruction to call the physician if the heart rate is above 90 beats per minute is crucial for a patient on digoxin because digoxin is primarily used to treat certain heart conditions, particularly atrial fibrillation and heart failure, where heart rate regulation is important. An elevated heart rate (tachycardia) could indicate that the medication is not having the desired effect, or it may suggest other complications that need to be addressed.

Monitoring heart rate is essential for patients on digoxin, as the drug works to stabilize heart function. The normal resting heart rate for adults typically ranges from 60 to 100 beats per minute, and rates above this threshold may indicate a need for further evaluation or adjustment in therapy.

Encouraging the client to report significant changes in their heart rate fosters awareness of potential side effects or complications associated with digoxin, reinforcing patient safety. Educating clients on this aspect also empowers them to take an active role in managing their health and understanding the medication's role in their treatment plan.