A nurse is providing discharge instructions for a client diagnosed with congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?

"I will take my diuretic before sleep and drink fluids during the day."

"I will read food labels and limit my sodium to 4 grams per day."

"I plan to pace my activities to avoid fatigue."

"I should use naproxen to manage discomfort."

Answer and Explanation

The Correct Answer is B

Rationale:

A. Taking a diuretic before sleep and drinking fluids during the day is important but does not specifically address sodium intake.

B. This statement indicates an understanding of the importance of limiting sodium intake, which is crucial in managing congestive heart failure.

C. Pacing activities is important but is not specific to sodium intake.

D. Naproxen is not typically used to manage discomfort in congestive heart failure.

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Correct Answer is C

Explanation

Rationale:

A. Diminished breath sounds are not typically associated with a pericardial effusion.

B. Increased blood pressure is not typically associated with a pericardial effusion but it can instead result in hypotension due to decreased cardiac output due to compression of the heart by the accumulated fluid.

C. The heart sounds may become faint or distant due to fluid accumulation around the heart.

D. A new systolic murmur may indicate a pericardial effusion and should be further evaluated.

A. Hyperkalemia B. Cardiac dysrhythmias C. Seizures D. Hypoglycemia

Correct Answer is B

Explanation

Rationale:

A. Hyperkalemia is not typically associated with thiazide diuretics.

B. Cardiac dysrhythmias can occur with thiazide diuretics due to electrolyte imbalances.

C. Seizures are not typically associated with thiazide diuretics.

D. Hypoglycemia is not typically associated with thiazide diuretics.

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A nurse is providing discharge instructions for a client diagnosed with congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in a critical care unit who is 4 hours post operative coronary artery bypass surgery. The nurse performs the reassessment and suspects the client may be developing a pericardial effusion. What assessment findings would the nurse note in this case?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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