Which topic will the nurse plan to include in discharge teaching for a client who has heart failure with reduced ejection fraction?

Need to begin an aerobic exercise program several times weekly

Use of salt substitutes to replace table salt when cooking and at the table

Importance of making an annual appointment with the health care provider

Benefits and effects of angiotensin-converting enzyme (ACE) inhibitors

Answer and Explanation

The Correct Answer is D

Discharge teaching for a client with heart failure and reduced ejection fraction should prioritize education about medications that are essential in managing heart failure, such as angiotensin-converting enzyme (ACE) inhibitors.

ACE inhibitors are a class of medications commonly prescribed to heart failure patients with reduced ejection fraction. They work by dilating blood vessels, reducing the workload on the heart, and improving the heart's pumping ability. They are one of the cornerstones of heart failure management and have been shown to reduce symptoms, improve quality of life, and prolong survival in heart failure patients.

Educating the client about the benefits and effects of ACE inhibitors is crucial to promote medication adherence and ensure they understand the importance of taking this medication as prescribed. Common side effects, such as dizziness or dry cough, should also be discussed so the client knows what to expect and when to notify their healthcare provider.

While the other options may also be relevant to a client with heart failure, including starting an aerobic exercise program (A), reducing salt intake (B), and scheduling regular follow-up appointments (C), the immediate priority in discharge teaching should be about the medication regimen and the specific benefits and effects of ACE inhibitors. Other aspects of heart failure management can be addressed during the overall education and follow-up sessions.

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Correct Answer is A

Explanation

Among the given laboratory test results for a client with recently diagnosed hypertension, the most important result to communicate to the health care provider is option (A), "Serum creatinine of 2.8 mg/dL."

Serum creatinine is a measure of kidney function, and a value of 2.8 mg/dL indicates elevated creatinine levels. Elevated serum creatinine is a concerning finding, as it suggests decreased kidney function or kidney impairment. Hypertension can have a significant impact on the kidneys, and kidney damage is a common complication of uncontrolled high blood pressure.

The kidneys play a crucial role in regulating blood pressure by excreting waste products and excess fluids from the body. When kidney function is compromised due to hypertension, it can further worsen the blood pressure control, leading to a vicious cycle of kidney damage and worsening hypertension.

Option (B), "Serum hemoglobin of 14.7 g/dL," is within the normal range and does not indicate an immediate concern related to the client's hypertension.

Option (C), "Blood glucose level of 96 mg/dL," is also within the normal range for blood glucose and may not be directly related to the client's hypertension.

Option (D), "Serum potassium of 4.5 mEq/L," is within the normal range. While potassium levels are essential to monitor, they are not the most critical concern compared to kidney function in this context.

The elevated serum creatinine level suggests a potential complication of hypertension, namely kidney damage or decreased kidney function. Therefore, it is essential to communicate this finding promptly to the health care provider for further evaluation and appropriate management to address the client's kidney health and optimize blood pressure control.

A. WBC Count B. Platelet Count C. Electrocardiogram (ECG) Rhythm D. Serum glucose level E. Vital signs

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

Explanation

Based on the client's condition, the nurse should monitor the following:

C. Electrocardiogram (ECG) Rhythm: The client is experiencing chest pain with ST elevation, which indicates a possible myocardial infarction (MI). Continuous monitoring of the ECG rhythm is essential to identify any changes or dysrhythmias that may occur during the course of the client's care.

E. Vital signs: The client's tachycardia with ST elevation suggests cardiac involvement. Monitoring vital signs, including heart rate, blood pressure, respiratory rate, and oxygen saturation, is crucial to assess the client's hemodynamic status and detect any signs of deterioration or improvement.

The other options (A. WBC Count, B. Platelet Count, and D. Serum glucose level) are not directly related to the client's acute chest pain and the possible MI. While these tests may be ordered for other reasons or as part of the overall assessment, they are not the immediate priorities in this situation. Monitoring the ECG rhythm and vital signs are more relevant to the client's acute cardiac condition.

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Which topic will the nurse plan to include in discharge teaching for a client who has heart failure with reduced ejection fraction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing the laboratory test results for a client who has recently been diagnosed with hypertension. Which result is most important to communicate to the health care provider?

Correct Answer is A

Explanation

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

Explanation

Which diagnostic test will be most useful to the nurse in determining whether a client admitted with acute shortness of breath has heart failure?

The nurse teaches a student nurse about diagnostic studies used for acute coronary syndrome. Which statement made by the student nurse indicates effective learning?

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The nurse on the intermediate care unit received a change-of-shift report on four patients with hypertension. Which patient should the nurse assess first?

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During the 48 hours after a myocardial infarction (MI), a nurse should assign the highest priority to monitoring the patient for what complication?

A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?