A client with congestive heart failure complains of feeling fatigued and weak after mild physical activity, such as getting dressed or walking short distances. The nurse should identify this symptom as:

Palpitations

Angina pectoris

Dyspnea on exertion

Peripheral cyanosis

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because palpitations refer to an abnormal awareness of the heart's beating, which is not described by the client.

B) This choice is incorrect because angina pectoris is chest pain or discomfort due to inadequate blood flow to the heart muscle. The client's complaint is related to physical activity causing fatigue and weakness, not chest pain.

C) This choice is correct. Dyspnea on exertion refers to shortness of breath or difficulty breathing that occurs with physical activity or exertion. The client's symptoms of feeling fatigued and weak after mild activity suggest exertional dyspnea, which is common in congestive heart failure.

D) This choice is incorrect because peripheral cyanosis is bluish discoloration of the skin and mucous membranes due to reduced blood flow, which is not described by the client.

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Correct Answer is B

Explanation

A) This choice is incorrect because limiting fluid intake is not specific to the administration of spironolactone. Fluid intake may need to be adjusted based on the client's overall fluid balance and congestive heart failure status, but it is not a direct instruction related to the medication.

B) This choice is correct. Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia (high potassium levels). The client should avoid foods high in potassium to help prevent potassium overload and potential adverse effects.

C) This choice is incorrect because the timing of spironolactone administration may vary depending on the client's individual response and the presence of other medications. The client should follow the prescribed schedule given by the healthcare provider.

D) This choice is incorrect because monitoring blood pressure daily and adjusting the dose accordingly is not specific to the administration of spironolactone. While blood pressure may need to be monitored regularly, dosage adjustments should only be made under the guidance of the healthcare provider.

Questions

A. Restricting all physical activity to prevent strain on the heart. B. Weighing themselves once a week and reporting sudden weight gain. C. Consuming a high-sodium diet to increase fluid retention. D. Taking prescribed medications only when symptoms worsen.

Correct Answer is B

Explanation

A) This choice is incorrect because restricting all physical activity is not recommended for clients with congestive heart failure. Regular, moderate exercise can be beneficial for heart health when appropriately prescribed by the healthcare provider.

B) This choice is correct. Regularly weighing themselves, ideally daily, and reporting sudden weight gain to the healthcare provider is essential for clients with congestive heart failure. Sudden weight gain may indicate fluid retention, a worsening of heart failure, or medication non-compliance.

C) This choice is incorrect because a high-sodium diet can worsen fluid retention and exacerbate congestive heart failure symptoms. The client should follow a low-sodium diet to manage fluid balance.

D) This choice is incorrect because taking prescribed medications only when symptoms worsen is not appropriate for congestive heart failure management. The client should take prescribed medications as directed by the healthcare provider, even when feeling well, to prevent symptom exacerbation and improve heart function.

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A client with congestive heart failure complains of feeling fatigued and weak after mild physical activity, such as getting dressed or walking short distances. The nurse should identify this symptom as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with congestive heart failure is prescribed spironolactone, a potassium-sparing diuretic. The nurse should instruct the client to:

Correct Answer is B

Explanation

A nurse is providing discharge teaching to a client diagnosed with congestive heart failure. Which instruction is essential for the client to prevent exacerbation of symptoms?

Correct Answer is B

Explanation

A nurse is caring for a client with congestive heart failure. Which assessment finding may indicate a potential precipitating factor for the client's condition?

A client with congestive heart failure is prescribed digoxin. The nurse should monitor the client's:

A client with congestive heart failure presents with swollen ankles, legs, and abdomen. The nurse should document these findings as:

A nurse is assessing a client with congestive heart failure. Which finding indicates possible fluid accumulation in the lungs, a common symptom of CHF?

A client with congestive heart failure is prescribed a loop diuretic. The nurse should closely monitor the client for which electrolyte imbalance associated with this medication?

A client with a history of alcohol abuse and malnutrition is admitted with signs and symptoms of congestive heart failure. Which factor is likely a precipitating cause of the client's condition?

A nurse is caring for a client with congestive heart failure who is prescribed a loop diuretic. The nurse should monitor the client for which potential electrolyte imbalance associated with this medication?

A client with a history of hypertension and diabetes mellitus presents to the clinic with complaints of fatigue, difficulty breathing, and frequent urination at night. Which risk factor is most likely contributing to the client's symptoms?