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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. This is wrong because the ECG leads show ST segment elevation.
B. Stable angina may present with ST segment depression in an ECG unlike in the strip shown above which depicts an ST segment elevation.
C. This is correct because of the ST segment elevation.
D. Unstable angina may have hyperacute T wave, flattening of the T waves, inverted T waves or an ST depression unlike in the above ECG strip.
Correct Answer is ["A","B","C","E","F"]
Explanation
Rationale:
A. Unable to lie flat due to orthopnea is a sign of worsening heart failure.
B. Feeling fatigued is a general symptom of heart failure but can worsen as heart failure progresses.
C. Distended neck veins indicate increased central venous pressure, which is a sign of worsening right-sided heart failure.
D. Increased appetite is not typically associated with worsening heart failure.
E. Weight gain of 2 pounds in 24 hours indicates fluid retention and worsening heart failure.
F. Worsening lower extremity edema is a sign of worsening heart failure.
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