A nurse is providing discharge teaching about safety considerations to an older adult client who lives at home. The client has heart failure and a new prescription for hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?

"I will weigh myself once weekly."

"I will take my new medication in the evening."

"I will leave a light on in my bathroom at night."

"I will take a hot bath before going to bed."

Answer and Explanation

The Correct Answer is C

A.   Weighing once weekly might not be frequent enough for monitoring changes related to heart failure or medication effects.
B.   The timing of hydrochlorothiazide administration isn't critical to safety considerations; it's typically taken in the morning due to its diuretic effect.
C.   Leaving a light on in the bathroom at night can help prevent falls, a common concern in older adults, especially those with heart failure.
D.   Taking a hot bath before bed might not contribute significantly to safety considerations related to heart failure or medication use.

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Correct Answer is A

Explanation

A. Regular ankle and knee exercises help prevent muscle atrophy due to immobility.
B. Changing positions every 4 hours is helpful, but more frequent movement is recommended.
C. Antiembolic stockings should be worn when immobile to prevent blood clots.
D. Holding breath during movement doesn't contribute to reducing adverse effects of immobility.

A. "I will avoid exposure to the sun." B. "I will decrease my intake of dairy products." C. "I will walk three times per week." D. "I will take 250 milligrams of calcium once per day."

Correct Answer is C

Explanation

A. Avoiding exposure to the sun might decrease vitamin D synthesis, which is necessary for calcium absorption.

B. Decreasing intake of dairy products may decrease calcium intake, which could increase the risk of osteoporosis.
C. Regular weight-bearing exercises like walking help maintain bone density and reduce the risk of osteoporosis.
D. A daily calcium intake of 250 milligrams might be insufficient for osteoporosis prevention; the recommended daily intake varies based on age and gender.

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A nurse is providing discharge teaching about safety considerations to an older adult client who lives at home. The client has heart failure and a new prescription for hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

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Correct Answer is A

Explanation

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Correct Answer is C

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