Which statement made by a patient indicates a possible exacerbation of heart failure (HF)?
"I have gained 8 pounds this week."
"I am able to breathe easier today."
"I cooked dinner last night."
"There is no swelling in my feet."
The Correct Answer is A
Choice A reason: A rapid weight gain is a common sign of fluid retention, which can indicate an exacerbation of heart failure.
Choice B reason: Being able to breathe easier would typically indicate an improvement in heart failure symptoms, not an exacerbation.
Choice C reason: Cooking dinner suggests a level of activity that is not indicative of an exacerbation of heart failure.
Choice D reason: The absence of swelling in the feet would generally be a positive sign, not indicative of an exacerbation of heart failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Affirming the patient's statement without addressing the potential for grandiosity may not be therapeutic.
Choice B reason: Telling a manic patient that no one can be great at everything may be confrontational and could escalate the situation.
Choice C reason: Encouraging the patient to "keep it up" may reinforce potentially harmful manic behavior.
Choice D reason: Asking the patient to recall a time when things didn't go as planned can help ground their thoughts and is a therapeutic communication technique used to address potential grandiosity in mania.
Correct Answer is A
Explanation
Choice A reason: A rapid weight gain is a common sign of fluid retention, which can indicate an exacerbation of heart failure.
Choice B reason: Being able to breathe easier would typically indicate an improvement in heart failure symptoms, not an exacerbation.
Choice C reason: Cooking dinner suggests a level of activity that is not indicative of an exacerbation of heart failure.
Choice D reason: The absence of swelling in the feet would generally be a positive sign, not indicative of an exacerbation of heart failure.
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