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."
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 D
Explanation
A. Dismissing the client's concerns by stating everything will be fine doesn’t acknowledge their anxiety or offer reassurance.
B. While validating common feelings of fear might be helpful, it doesn't directly address the client's concerns or provide coping strategies.
C. Asking why the client feels scared might come across as confrontational or probing, possibly escalating their anxiety.
D. Offering to discuss what the client can expect during their stay provides reassurance, helps manage expectations, and gives the client a sense of control and understanding about their situation.
Correct Answer is C
Explanation
A. Cooked vegetables are not typically included in a full liquid diet as they contain solid parts.
B. Bananas are not part of a full liquid diet because they are solid foods.
C. Pudding is a suitable selection for a full liquid diet as it's a smooth, creamy food that's easy to swallow.
D. Yogurt with fruit might contain solid parts, which aren't recommended in a full liquid diet.
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