A nurse is assessing a client who has heart failure.
Which of the following client statements should indicate to the nurse that the client needs a referral for cardiac rehabilitation?
"I will weigh myself daily.".
"l hate how I feel all the time.".
"I'm too tired to brush my teeth.".
"I need to start eating a low-sodium diet.".
The Correct Answer is C
“I’m too tired to brush my teeth.” This statement indicates that the client is experiencing fatigue, which is a common symptom of heart failure.
Fatigue can significantly impact a person’s ability to perform daily activities and can be an indication that the client needs a referral for cardiac rehabilitation 1.
Choice A is not the correct answer because weighing oneself daily is a recommended self-monitoring technique for clients with heart failure.
Choice B is not the correct answer because while feeling unhappy can be a symptom of heart failure, it does not necessarily indicate a need for cardiac rehabilitation.
Choice D is not the correct answer because eating a low-sodium diet is a recommended dietary change for clients with heart failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Step 1: 100 mL ÷ 30 min
Step 2: (100 mL ÷ 30 min) × 60 min/hr
Step 3: 3.33 mL/min × 60 min/hr
Answer: 200 mL/hr
Correct Answer is A
Explanation
This statement indicates that the nurse understands the importance of limiting the exposure of family members to radiation from the sealed implant.
Choice B is incorrect because the dosimeter badge should not be given to the oncoming nurse at the end of the shift.
The dosimeter badge is used to measure an individual’s exposure to radiation and should be worn by the same person throughout their shift.
Choice C is incorrect because if the client’s implant dislodges, the nurse should not touch it with their hands, even if they are wearing gloves.
The nurse should follow the facility’s protocol for handling dislodged implants.
Choice D is incorrect because soiled linens from a client with a sealed radiation implant do not need to be removed from the room after each change.
The linens can be handled according to standard precautions.
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