A nurse is conducting a community health education session on heart health. Which lifestyle factor should the nurse emphasize as a potential modifiable risk factor for congestive heart failure?

Age

Family history of heart disease

Smoking

Gender

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because age is a non-modifiable risk factor for congestive heart failure. While age increases the risk of heart disease, including CHF, it cannot be changed or modified.

B) This choice is incorrect because family history of heart disease is a non-modifiable risk factor. While individuals with a family history of heart disease may have an increased risk of developing CHF, it is not something that can be changed or modified.

C) This choice is correct. Smoking is a modifiable risk factor for congestive heart failure. Smoking damages blood vessels, increases blood pressure, and can lead to atherosclerosis, all of which contribute to heart failure.

D) This choice is incorrect because gender is a non-modifiable risk factor for congestive heart failure. While men may have a slightly higher risk of heart failure compared to women, gender is not something that can be changed or modified.

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Correct Answer is B

Explanation

A) This choice is incorrect because a high-pitched, scratchy sound heard during inhalation is called a pleural friction rub and is associated with pleuritis or inflammation of the pleura, not congestive heart failure.

B) This choice is correct. An S3 heart sound is an extra heart sound heard immediately after S1 and S2, often described as a "ventricular gallop." It is associated with congestive heart failure and indicates increased fluid volume and strain on the ventricles.

C) This choice is incorrect because a prolonged, whooshing sound heard during systole is a heart murmur, which can be caused by various conditions, but it is not specific to the presence of an S3 sound.

D) This choice is incorrect because an irregular heart rhythm with varying intensity is characteristic of cardiac arrhythmias or irregular heartbeats and is not specific to the presence of an S3 sound.

A. Serum electrolyte levels B. Blood pressure readings C. Oxygen saturation levels D. Ejection fraction (EF)

Correct Answer is D

Explanation

A) This choice is incorrect because serum electrolyte levels are not directly measured during an echocardiogram. They are typically assessed through a blood test and are not specific to evaluating heart function using ultrasound.

B) This choice is incorrect because blood pressure readings are not directly measured during an echocardiogram. Blood pressure is typically assessed using a sphygmomanometer and is not specific to evaluating heart function using ultrasound.

C) This choice is incorrect because oxygen saturation levels are not directly measured during an echocardiogram. Oxygen saturation is typically assessed using a pulse oximeter and is not specific to evaluating heart function using ultrasound.

D) This choice is correct. Ejection fraction (EF) is a parameter measured during an echocardiogram to assess the client's heart function. It represents the percentage of blood pumped out of the heart's left ventricle with each heartbeat and is an essential indicator of heart muscle efficiency and potential heart failure.

Questions

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A nurse is conducting a community health education session on heart health. Which lifestyle factor should the nurse emphasize as a potential modifiable risk factor for congestive heart failure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A client with suspected congestive heart failure undergoes an echocardiogram. The nurse should expect which parameter to be measured during the echocardiogram to assess the client's heart function?

Correct Answer is D

Explanation

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

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:

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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?

A client with suspected congestive heart failure undergoes a chest X-ray. The nurse should anticipate which finding that may be indicative of CHF?

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?

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