A client with congestive heart failure reports waking up at night with sudden breathlessness and feeling the need to sit upright to breathe comfortably. The nurse should document this symptom as:

Orthopnea

Paroxysmal nocturnal dyspnea

Peripheral edema

Tachypnea

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because orthopnea is a different symptom where the client experiences difficulty breathing while lying flat and finds relief by sitting upright or standing.

B) This choice is correct. Paroxysmal nocturnal dyspnea is characterized by sudden breathlessness that awakens the client from sleep, usually 1-2 hours after falling asleep. The client may feel the need to sit upright or dangle the legs to breathe comfortably.

C) This choice is incorrect because peripheral edema refers to swelling in the legs, ankles, and feet, which is a common symptom of congestive heart failure but does not match the client's reported symptom.

D) This choice is incorrect because tachypnea is rapid breathing and is not specifically related to the client's nighttime symptom of sudden breathlessness.

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Correct Answer is C

Explanation

A) This choice is incorrect because serum sodium levels are not directly impacted by digoxin. However, electrolyte imbalances, including hypokalemia, can potentiate digoxin toxicity, so potassium levels should be monitored.

B) This choice is incorrect because while digoxin can impact liver function, it is not the primary parameter to be monitored. Liver function tests may be performed periodically to assess liver health during digoxin therapy.

C) This choice is correct. Digoxin is a cardiac glycoside that can impact renal function. Monitoring urine output is essential to assess kidney function and the client's response to the medication.

D) This choice is incorrect because blood glucose levels are not specifically impacted by digoxin. However, hypokalemia resulting from digoxin therapy can cause alterations in glucose metabolism, so blood glucose levels should be monitored in clients taking digoxin.

A. Palpitations B. Angina pectoris C. Dyspnea on exertion D. Peripheral cyanosis

Correct Answer is C

Explanation

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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A client with congestive heart failure reports waking up at night with sudden breathlessness and feeling the need to sit upright to breathe comfortably. The nurse should document this symptom as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

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:

Correct Answer is C

Explanation

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?

A nurse is auscultating a client's heart sounds and hears a third heart sound (S3). Which finding is consistent with the presence of an S3 sound in a client with congestive heart failure?

A nurse is providing education to a client diagnosed with congestive heart failure. The client asks, "What are the most common causes of CHF?" How should the nurse respond?

A nurse is caring for a client with congestive heart failure who is prescribed a beta-blocker. The nurse should instruct the client to:

A client with congestive heart failure is prescribed a nitrate medication. The nurse should instruct the client to:

A nurse is caring for a client with suspected congestive heart failure. Which blood test is specifically used to measure heart strain and assist in the diagnosis 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 nurse is reviewing the diagnostic tests for a client suspected of having congestive heart failure. Which test is considered the gold standard for diagnosing CHF?