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A nurse is caring for a heart failure client with a history of dietary non compliance. The nurse suspects the client has fluid volume overload. Which of the following findings should the nurse expect? (SELECT ALL THAT APPLY))

Increased blood pressure

increased heart rate

Increase hematocrit

Increased respiratory rate

Increased temperature

Answer and Explanation

Correct Answer : A,B,D

Rationale:

A. Fluid overload can lead to increased blood pressure due to the excess fluid circulating in the body.

B. Increased heart rate is a compensatory mechanism in response to fluid volume overload.

C. Increased hematocrit is not typically associated with fluid volume overload.

D. Increased respiratory rate is a compensatory mechanism in response to fluid volume overload.

E. Increased temperature is not typically associated with fluid volume overload.

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Correct Answer is D

Explanation

A. Regular pacemaker checks are scheduled periodically, not only when the battery needs replacement.
B. Modern pacemakers are well-shielded and are not affected by household microwaves.
C. Clients should check their pulse daily to ensure proper pacemaker function, not just weekly.
D. Many pacemakers can be checked remotely using telephone or wireless technology, allowing for convenient monitoring.

A. "The cardiac rehab program, can help you safely return to an active lifestyle." B. "Your doctor is the expert, and would only recommend what is best for you." C. "It's normal to feel that way at first, but once you learn the routine, you'll enjoy it." D. "Cardiac Rehab will help you get back to normal"

Correct Answer is A

Explanation

Rationale:

A. Encouraging the client to participate in the cardiac rehab program is important for recovery and returning to an active lifestyle.

B. Acknowledging the doctor's expertise is important, but it does not address the client's concerns.

C. This statement may minimize the client's concerns and is not the best response.

D. This statement is not specific and may not address the client's concerns.

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A nurse is caring for a heart failure client with a history of dietary non compliance. The nurse suspects the client has fluid volume overload. Which of the following findings should the nurse expect? (SELECT ALL THAT APPLY))

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a permanent pacemaker and has just had the initial pacemaker check. Which of the following client statements indicates to the nurse that the teaching was effective?

Correct Answer is D

Explanation

A nurse is caring for a client post transcatheter aortic valve replacement (TAVR). During the first cardiac rehabilitation session, the client tells the nurse, "I do not need to be here. I am feeling so much better, I can do this at home". Which of the following is the appropriate nursing response?

Correct Answer is A

Explanation

A nurse is caring for a heart failure client with a history of dietary non compliance. The nurse suspects the client has fluid volume overload. Which of the following findings should the nurse expect? (SELECT ALL THAT APPLY))

Identify the following Cardiac Rhythm:

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