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Which statement by a patient with restrictive cardiomyopathy indicates that the nurse's discharge teaching about self-management has been effective?

"I will need to limit my intake of salt and fluids even in hot weather.”.

"I will avoid taking aspirin or other anti-inflammatory drugs.”.

"I will take antibiotics before my teeth are cleaned at the dental office.”.

"I can restart my exercise program that includes hiking and biking.”.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Limiting salt and fluid intake is crucial for patients with restrictive cardiomyopathy to manage their condition.

Choice B rationale:

Avoiding aspirin or other anti-inflammatory drugs is not specifically related to the management of restrictive cardiomyopathy.

Choice C rationale:

Taking antibiotics before dental cleaning is a general recommendation for patients with certain heart conditions to prevent endocarditis, but it’s not specific to restrictive cardiomyopathy.

Choice D rationale:

Restarting an exercise program should be done under medical supervision and depends on the patient’s overall health status.

So, the correct answer is A, after analyzing all choices.

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Correct Answer is B

Explanation

Choice A rationale:

Feeling anxious is not a common side effect of metoprolol.

Choice B rationale:

Metoprolol is a beta-blocker that can lower blood pressure, so a blood pressure of 90/54 mm Hg could indicate a side effect of this medication.

Choice C rationale:

A normal sinus rhythm is expected and does not indicate a side effect of metoprolol.

Choice D rationale:

Restlessness and agitation are not typical side effects of metoprolol.

So, the correct answer is B, after analyzing all choices.

A. Obtain blood cultures x 3. B. Administer antibiotic therapy. C. Obtain an echocardiogram. D. Restrict dental hygiene. E. Perform strenuous exercise regimen twice daily.

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale:

Obtaining blood cultures x 3 is anticipated for the client. This is because the adolescent’s symptoms such as fever, shortness of breath, and petechiae could indicate a bacterial infection, possibly endocarditis, which is a risk for individuals with a history of rheumatic fever and cardiac valve damage. Blood cultures would help identify the causative bacteria.

Choice B rationale:

Administering antibiotic therapy is anticipated for the client. The adolescent’s symptoms suggest a possible bacterial infection, which could have been introduced during the recent dental work. Antibiotics would help eliminate the bacteria and prevent further complications.

Choice C rationale:

Obtaining an echocardiogram is anticipated for the client. Given the adolescent’s history of rheumatic fever and cardiac valve damage, and current symptoms like shortness of breath and chest pain, an echocardiogram would help assess the condition of the heart valves and detect any abnormalities.

Choice D rationale:

Restricting dental hygiene is contraindicated for the client. Good oral hygiene is important, especially for individuals with a history of rheumatic fever and cardiac valve damage, as it helps prevent oral infections that could potentially spread to the heart.

Choice E rationale:

Performing a strenuous exercise regimen twice daily is contraindicated for the client. The adolescent is currently experiencing symptoms like shortness of breath and chest pain, which could be exacerbated by strenuous exercise. It’s important to avoid overexertion until the adolescent’s condition stabilizes.

So, the correct answer is, after analyzing all choices, Choices A, B, and C are anticipated for the client, while Choices D and E are contraindicated. .

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Which statement by a patient with restrictive cardiomyopathy indicates that the nurse's discharge teaching about self-management has been effective?

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Naxlex Comprehensive Predictor Exams

Which data indicates to the nurse that the patient with stable angina is experiencing a side effect of metoprolol?.

Correct Answer is B

Explanation

Correct Answer is ["A","B","C"]

Explanation

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