A client with congestive heart failure presents with a dry, persistent cough. The nurse should recognize this symptom as:

Hemoptysis

Dyspnea

Paroxysmal nocturnal dyspnea

Cardiac asthma

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because hemoptysis refers to coughing up blood from the respiratory tract, which is not described by the client.

B) This choice is incorrect because dyspnea refers to difficulty breathing or shortness of breath, not a dry, persistent cough.

C) This choice is incorrect because paroxysmal nocturnal dyspnea is characterized by sudden breathlessness that awakens the client from sleep, not a dry cough.

D) This choice is correct. Cardiac asthma is a form of wheezing or coughing that occurs as a result of fluid accumulation in the lungs due to congestive heart failure. It is not caused by asthma but is a manifestation of heart failure impacting the respiratory system.

Questions

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Correct Answer is D

Explanation

A) This choice is incorrect because consuming a diet high in sodium would exacerbate fluid retention in congestive heart failure. Clients with CHF should follow a low-sodium diet to reduce fluid overload and manage edema.

B) This choice is incorrect because limiting fluid intake to 1 liter per day is too restrictive and may lead to dehydration. Fluid restriction is essential for some clients with CHF, but the specific limit should be determined by the healthcare provider based on the client's individual needs.

C) This choice is incorrect because while potassium intake may need to be monitored, restricting potassium-rich foods is not a universal instruction for clients with CHF. It depends on the client's overall potassium levels and specific medication regimen.

D) This choice is correct. Following a low-sodium diet is essential for clients with congestive heart failure to reduce fluid retention and manage symptoms of fluid overload.

A. Reassure the client that these symptoms are normal with CHF. B. Encourage the client to increase fluid intake to prevent dehydration. C. Notify the healthcare provider about the client's symptoms. D. Administer a diuretic to reduce fluid retention.

Correct Answer is C

Explanation

A) This choice is incorrect because sudden weight gain, shortness of breath, and ankle swelling are not normal with CHF and may indicate worsening of the condition. The nurse should not reassure the client but rather take appropriate action to address the symptoms.

B) This choice is incorrect because the client's symptoms suggest fluid retention, and increasing fluid intake would exacerbate the condition. The nurse should not encourage the client to increase fluid intake without consulting the healthcare provider.

C) This choice is correct. The client's sudden weight gain, shortness of breath, and ankle swelling are signs of worsening congestive heart failure. The nurse's priority action is to notify the healthcare provider immediately to address the client's worsening condition and adjust the treatment plan as needed.

D) This choice is incorrect because administering a diuretic is not within the nurse's scope of practice without a healthcare provider's order. The nurse should first notify the healthcare provider to evaluate the client's condition and determine the appropriate intervention.

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A client with congestive heart failure presents with a dry, persistent cough. The nurse should recognize this symptom as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client with congestive heart failure regarding dietary management. Which instruction is essential for the nurse to include?

Correct Answer is D

Explanation

A nurse is caring for a client with congestive heart failure who reports sudden weight gain, shortness of breath, and swelling in the ankles. What is the nurse's priority action?

Correct Answer is C

Explanation

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