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A client who has had a significant myocardial infarction receives a referral to the cardiac rehabilitation unit. During his first visit to the unit, he tells the nurse that he doesn't understand why he needs to be there because there is nothing more to do as the damage is done. Which of the following responses should the nurse make?

"Cardiac rehabilitation cannot undo the damage to your heart, but it can help you get back to your previous level of activity safely."

"Your doctor is the expert here, and I'm sure he would only recommend what is best for you."

"You are probably right and I agree with you, but I still think you should go."

"It's not unusual to feel that way at first, but once you learn the routine, you'll be fine."

Answer and Explanation

The Correct Answer is A

A. "Cardiac rehabilitation cannot undo the damage to your heart, but it can help you get back to your previous level of activity safely." This response is therapeutic and educative, helping the client understand that while damage cannot be reversed, rehabilitation supports safe recovery and improved quality of life.

B. "Your doctor is the expert here, and I'm sure he would only recommend what is best for you." This response does not address the client’s concerns and lacks supportive or educational value.

C. "You are probably right and I agree with you, but I still think you should go." This dismissive response fails to provide support, education, or empathy.

D. "It's not unusual to feel that way at first, but once you learn the routine, you'll be fine." Although this statement offers some support, it lacks the educational element needed to address the client’s concerns about the purpose of rehabilitation.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. "I am constipated." Constipation is not a common indicator of digoxin toxicity; it may be more related to diet or other medications.

B. "My vision seems yellow." Yellow or blurred vision, also called xanthopsia, is a classic sign of digoxin toxicity and should be reported immediately.

C. "My tongue is red and beefy." A red and beefy tongue may indicate vitamin B12 deficiency, not digoxin toxicity.

D. "I am gaining weight." Weight gain is usually a sign of fluid retention or worsening heart failure, not specifically digoxin toxicity.

A. "This medication can make me have mood swings." B. "I may have urinary incontinence while taking this medication." C. "I should not drive while taking this new medication." D. "I may have frequent hiccups while taking this medication." E. "This new medication may decrease my sex drive."

Correct Answer is ["A","C","E"]

Explanation

A. "This medication can make me have mood swings." Beta blockers can cause mood changes, such as depression or mood swings, as a side effect.

B. "I may have urinary incontinence while taking this medication." Urinary incontinence is not a common side effect of beta blockers.

C. "I should not drive while taking this new medication." Beta blockers can cause dizziness or fatigue, so clients should avoid driving until they know how the medication affects them.

D. "I may have frequent hiccups while taking this medication." Hiccups are not a common side effect of beta blockers.

E. "This new medication may decrease my sex drive." Beta blockers can sometimes cause decreased libido as a side effect.

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Naxlex Comprehensive Predictor Exams

A nurse in a clinic is caring for a client who has heart failure and is taking digoxin. Which of the following statements by the client indicates the client is experiencing digoxin toxicity?

Correct Answer is B

Explanation

A nurse is reinforcing teaching to a client who has cardiomyopathy about side effects of beta blockers. Which of the following client statements should indicate to the nurse that the client understands the teaching? (Select All that Apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse is reinforcing teaching with an older adult client who has been newly diagnosed with a heart murmur. Which of the following statements should the nurse make?

A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?

A nurse is reviewing the laboratory findings of a client who experienced an acute myocardial infarction 6 days ago. Which of the following laboratory values should the nurse expect to remain elevated at this time?

A nurse is reinforcing teaching to a client who has dilated cardiomyopathy (DCM). Which of the following statements by the nurse should be included in the teaching?

A nurse is reinforcing teaching with an older adult client who has had a newly inserted permanent pacemaker. Which of the following manifestations should the nurse include in the teaching as a pacemaker malfunction that the client should report to the provider?

A nurse is collecting data on a client who has mitral valve stenosis. Which of the following findings should the nurse expect?

Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?

A nurse is reviewing the laboratory values for a client who has heart failure and is taking bumetanide. For which of the following results should the nurse notify the provider?