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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 ["C","E","G","H"]

Explanation

Choice A rationale:

The apical pulse rate increased from 90/min to 112/min, which is still within the normal range (60-100 beats per minute). Therefore, it’s not a critical change.

Choice B rationale:

The adolescent’s position, supine with legs straight, is the recommended position after cardiac catheterization to prevent bleeding from the femoral artery puncture site.

Choice C rationale:

The pulses of the right extremity decreased to 2+, indicating reduced blood flow. This is a critical finding and should be reported.

Choice D rationale:

The pain increased from 0 to 2 on a scale of 0 to 10. While any increase in pain should be monitored, a score of 2 is not typically considered severe.

Choice E rationale:

The pressure dressing became saturated with bloody drainage, indicating possible bleeding. This is a critical finding and should be reported.

Choice F rationale:

The respiratory rate increased from 16/min to 18/min, which is still within the normal range (12-20 breaths per minute). Therefore, it’s not a critical change.

Choice G rationale:

The blood pressure decreased from 120/76 mm Hg to 100/52 mm Hg. A significant drop in blood pressure can indicate blood loss or shock. This is a critical finding and should be reported.

Choice H rationale:

The right lower extremity became cool and pale, indicating reduced blood flow. This is a critical finding and should be reported.

So, the correct answer is Choice C, E, G, H, after analyzing all choices. .

A. Patient with dilated cardiomyopathy who has bilateral crackles at the lung bases. B. Patient with acute aortic regurgitation whose blood pressure is 86/54 mm Hg. C. Patient with infective endocarditis who has a murmur and splinter hemorrhages. D. Patient with rheumatic fever who has sharp chest pain with a deep breath.

Correct Answer is B

Explanation

Choice A rationale:

While bilateral crackles at the lung bases indicate fluid accumulation, a common symptom of dilated cardiomyopathy, it’s not as immediately life-threatening as some other conditions.

Choice B rationale:

Acute aortic regurgitation can lead to a rapid and severe drop in blood pressure, which is a medical emergency. Therefore, this patient should be assessed first.

Choice C rationale:

While a murmur and splinter hemorrhages are symptoms of infective endocarditis, they are not as immediately life-threatening as acute aortic regurgitation.

Choice D rationale:

Sharp chest pain with a deep breath could be a symptom of rheumatic fever, but it’s not as immediately life-threatening as acute aortic regurgitation.

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

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an adolescent following a cardiac catheterization. Exhibits Which of the following assessment findings should the nurse report to the provider? Select the 4 findings that the nurse should report to the provider.

Correct Answer is ["C","E","G","H"]

Explanation

After receiving a change-of-shift report on four patients, which patient would the nurse assess first?.

Correct Answer is B

Explanation

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

A nurse is supervising a new graduate who is providing discharge teaching to a patient diagnosed with hypertension. While teaching a patient about their newly prescribed diuretic (furosemide), which of the following statements made by the new graduate requires correction by the supervising nurse?.

The nurse is assessing a patient with myocarditis before giving a scheduled dose of digoxin (Lanoxin). Which finding is most important for the nurse to communicate to the health care provider?.

A patient who has just been admitted with pulmonary edema is scheduled to receive the following medications. Which medication would the nurse question before giving?.

After receiving a change-of-shift report about the following four patients on the cardiac care unit, which patient would the nurse assess first?.

The nurse is providing teaching about the patient's laboratory values that increase the risk for coronary artery disease (CAD). Which of the following values should the nurse prioritize?.