A nurse is teaching a client about the management of pericarditis. Which off the following client statements indicates to the nurse an understanding of the teaching?
"I will need to increase my fluids to 3 liters per day?
I should avoid driving due to my implanted defibrillator
"I should refrain from sexual activity while taking NSAIDS
"I will contact my health care provider if i develop chest pain.
The Correct Answer is D
Rationale:
A. While adequate hydration is generally beneficial, pericarditis management does not typically require aggressive fluid intake, and overhydration could exacerbate complications, especially if there is concurrent heart failure.
B. This statement is not relevant to pericarditis, as having pericarditis does not necessitate avoidance of driving unless there are specific complications or comorbidities.
C. NSAIDs are used to reduce inflammation and pain in pericarditis; sexual activity is not contraindicated while on these medications unless the client is experiencing symptoms that limit activity.
D. This indicates understanding because chest pain can signify worsening pericarditis or complications such as cardiac tamponade or myocardial involvement, and prompt evaluation is necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Hypokalemia (low potassium levels) can significantly affect skeletal and cardiac muscle function, leading to generalized fatigue, muscle weakness, cramping, and in severe cases, paralysis or life-threatening arrhythmias. Clients taking loop diuretics (e.g., furosemide) or thiazide diuretics are particularly at risk, as these medications increase potassium excretion in the urine. Monitoring for early signs of hypokalemia allows timely intervention with dietary potassium or supplementation.
B. Shortness of breath is more indicative of pulmonary congestion or fluid overload associated with heart failure rather than low potassium levels. While hypokalemia can indirectly affect cardiac function, dyspnea is not a primary manifestation.
C. Reduced urine output is associated with renal insufficiency, dehydration, or hypovolemia, not directly with hypokalemia from diuretic use.
D. Edema results from excess fluid retention in the interstitial space, often related to heart failure or renal disease, and is not a direct sign of hypokalemia.
Correct Answer is D
Explanation
Rationale:
A. Catheter ablation does not directly improve myocardial contractility; its purpose is focused on electrical conduction rather than muscle strength.
B. While controlling ventricular response may occur with medications, ablation targets the atrial electrical pathways rather than directly controlling ventricular rate.
C. Anticoagulation decisions depend on stroke risk (e.g., CHA₂DS₂-VASc score); ablation does not automatically remove the need for anticoagulants.
D. The primary goal of catheter ablation in atrial fibrillation is to eliminate abnormal electrical pathways causing arrhythmia, thereby restoring and maintaining normal sinus rhythm and reducing symptoms.
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