A patient has a new diagnosis of congestive heart failure. What type of education would be appropriate to give the patient regarding signs and symptoms to report to the provider?
Increased thirst.
A rise in blood pressure.
Dizziness when standing up too quickly.
Weight gain of 2 lbs or more in 24 hours.
The Correct Answer is D
Choice A rationale:
Increased thirst is not a specific sign of congestive heart failure.
Choice B rationale:
A rise in blood pressure is not a specific sign of congestive heart failure.
Choice C rationale:
Dizziness when standing up too quickly could be a sign of orthostatic hypotension, not specifically congestive heart failure.
Choice D rationale:
Weight gain of 2 lbs or more in 24 hours could indicate fluid retention, a common sign of congestive heart failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Checking the medication at the nurses’ station does not ensure that the right medication is given to the right client.
Choice B rationale:
Checking the medication at the client’s bedside ensures that the right medication is given to the right client.
Choice C rationale:
Checking the medication at the time of documentation is too late to prevent medication errors.
Choice D rationale:
Checking the medication in the area where the nurse obtained the medication does not ensure that the right medication is given to the right client.
Correct Answer is C
Explanation
Choice A rationale:
Anaphylaxis is not an unusual response due to an inherited predisposition. It’s an acute allergic reaction.
Choice B rationale:
Anaphylaxis is not a predictable and often unavoidable secondary effect that can occur at a usual therapeutic dose. It’s an unpredictable and severe allergic reaction.
Choice C rationale:
Anaphylaxis is indeed a severe hypersensitivity or allergic reaction that is life-threatening. It requires immediate medical attention.
Choice D rationale:
Anaphylaxis will not cause withdrawal symptoms when you discontinue taking the medication. It’s an immediate allergic reaction.
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