A client with a congenital heart disease is being discharged home. What should the nurse include in the client's discharge teaching regarding activity?
Encourage the client to participate in high-intensity aerobic exercises daily.
Limit physical activities to mild exercises and avoid competitive sports.
Advise against any physical activity for at least six months.
Recommend participating in activities with prolonged standing to increase endurance.
The Correct Answer is B
A) Incorrect. Encouraging high-intensity aerobic exercises daily is not appropriate for a client with a congenital heart disease, as it can put excessive strain on the heart and may not be safe.
B) The answer is B. Limiting physical activities to mild exercises and avoiding competitive sports is recommended for clients with congenital heart diseases to prevent overexertion and potential complications.
C) Incorrect. Complete restriction of physical activity for six months is not necessary for most clients with congenital heart diseases. It is essential to promote safe and appropriate physical activities.
D) Incorrect. Activities with prolonged standing may increase venous return and potentially worsen certain congenital heart conditions. The focus should be on low to moderate intensity exercises.
QUESTIONS
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) The answer is A. Prophylactic antibiotics are often given before surgical procedures to prevent infection, especially in clients with congenital heart diseases who may be at a higher risk of endocarditis.
B) Incorrect. While it's essential for the client to take precautions after surgery to reduce the risk of infection, avoiding contact with others for two weeks is not necessary or practical. Instead, following proper wound care and taking prescribed medications as instructed are more relevant measures.
C) Incorrect. Discharging the client early from the hospital does not necessarily reduce the risk of infection. Postoperative care and wound management are crucial to prevent infection, regardless of the length of the hospital stay.
D) Incorrect. All surgical procedures carry some risk of infection. While healthcare providers take measures to minimize this risk, it is not accurate to claim there is no risk at all.
Correct Answer is C
Explanation
A) Incorrect. Left-sided heart failure typically presents with symptoms such as pulmonary congestion, shortness of breath, and crackles in the lungs, rather than cyanosis and clubbing.
B) Incorrect. Right-sided heart failure can cause peripheral edema and jugular vein distention, but it does not usually lead to cyanosis and clubbing.
C) The answer is C. Cyanosis and clubbing of the fingers are signs of chronic hypoxia, which can occur in pulmonary hypertension. This condition increases pulmonary vascular resistance and impairs oxygenation, leading to these characteristic symptoms.
D) Incorrect. Peripheral vascular disease primarily affects the arteries and veins in the extremities and is not directly related to cyanosis and clubbing of the fingers.
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