A nurse is providing discharge teaching to a client diagnosed with congestive heart failure. Which instruction is essential for the client to prevent exacerbation of symptoms?

Restricting all physical activity to prevent strain on the heart.

Weighing themselves once a week and reporting sudden weight gain.

Consuming a high-sodium diet to increase fluid retention.

Taking prescribed medications only when symptoms worsen.

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because restricting all physical activity is not recommended for clients with congestive heart failure. Regular, moderate exercise can be beneficial for heart health when appropriately prescribed by the healthcare provider.

B) This choice is correct. Regularly weighing themselves, ideally daily, and reporting sudden weight gain to the healthcare provider is essential for clients with congestive heart failure. Sudden weight gain may indicate fluid retention, a worsening of heart failure, or medication non-compliance.

C) This choice is incorrect because a high-sodium diet can worsen fluid retention and exacerbate congestive heart failure symptoms. The client should follow a low-sodium diet to manage fluid balance.

D) This choice is incorrect because taking prescribed medications only when symptoms worsen is not appropriate for congestive heart failure management. The client should take prescribed medications as directed by the healthcare provider, even when feeling well, to prevent symptom exacerbation and improve heart function.

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Correct Answer is D

Explanation

A) This choice is incorrect because a body mass index (BMI) of 22 kg/m² is within the normal range and is not directly associated with the development of congestive heart failure in this scenario.

B) This choice is incorrect because a blood pressure of 120/80 mmHg is within the normal range and does not indicate a direct precipitating factor for congestive heart failure in this case.

C) This choice is incorrect because a fasting blood glucose level of 90 mg/dL is within the normal range and is not directly associated with the development of congestive heart failure in this scenario.

D) This choice is correct. A serum cholesterol level of 240 mg/dL indicates high cholesterol, which is a risk factor for coronary artery disease. Coronary artery disease is a leading cause of congestive heart failure and may have contributed to the client's condition.

A. Serum electrolyte levels B. Blood pressure readings C. Oxygen saturation levels D. Ejection fraction (EF)

Correct Answer is D

Explanation

A) This choice is incorrect because serum electrolyte levels are not directly measured during an echocardiogram. They are typically assessed through a blood test and are not specific to evaluating heart function using ultrasound.

B) This choice is incorrect because blood pressure readings are not directly measured during an echocardiogram. Blood pressure is typically assessed using a sphygmomanometer and is not specific to evaluating heart function using ultrasound.

C) This choice is incorrect because oxygen saturation levels are not directly measured during an echocardiogram. Oxygen saturation is typically assessed using a pulse oximeter and is not specific to evaluating heart function using ultrasound.

D) This choice is correct. Ejection fraction (EF) is a parameter measured during an echocardiogram to assess the client's heart function. It represents the percentage of blood pumped out of the heart's left ventricle with each heartbeat and is an essential indicator of heart muscle efficiency and potential heart failure.

Questions

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A nurse is providing discharge teaching to a client diagnosed with congestive heart failure. Which instruction is essential for the client to prevent exacerbation of symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with congestive heart failure. Which assessment finding may indicate a potential precipitating factor for the client's condition?

Correct Answer is D

Explanation

A client with suspected congestive heart failure undergoes an echocardiogram. The nurse should expect which parameter to be measured during the echocardiogram to assess the client's heart function?

Correct Answer is D

Explanation

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