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 D

Explanation

Rationale:

A. Discontinuing heparin abruptly without achieving therapeutic levels of warfarin increases the risk of thrombus formation.

B. Heparin and warfarin have different mechanisms of action, but they both serve to prevent clot formation.

C. Heparin and warfarin do not directly affect each other's therapeutic effects.

D. Warfarin takes time to reach therapeutic levels and become effective, so heparin is continued until warfarin is fully active.

A. Suggest that the client use a salt substitute. B. Advise the client to add citrus juices and bananas to her diet. C. Obtain a 12-lead ECG D. Obtain a blood sample for a serum sodium level

Correct Answer is C

Explanation

Rationale:

A. Salt substitutes often contain potassium and should be avoided in clients with hyperkalemia.

B. Citrus juices and bananas are high in potassium and should be avoided in clients with hyperkalemia.

C. A 12-lead ECG may include changes such as peaked T wave, flattened P wave, prolonged PR interval, ST depression, and prolonged QRS duration.

D. A serum sodium level should be obtained but it is not the priority in this case.

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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?

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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