A client with a history of alcohol abuse and malnutrition is admitted with signs and symptoms of congestive heart failure. Which factor is likely a precipitating cause of the client's condition?

Alcohol abuse

Malnutrition

Sedentary lifestyle

Occupational exposure to toxins

Answer and Explanation

The Correct Answer is A

A) This choice is correct. Alcohol abuse can lead to dilated cardiomyopathy, a condition in which the heart becomes enlarged and weakened, contributing to congestive heart failure. Chronic alcohol consumption can cause toxic effects on the heart muscle, leading to impaired pumping function.

B) This choice is incorrect because malnutrition, while it can impact overall health, is not a direct precipitating cause of congestive heart failure. However, malnutrition can exacerbate heart failure symptoms and weaken the heart further.

C) This choice is incorrect because a sedentary lifestyle can be a risk factor for heart disease, including congestive heart failure, but it is not a direct precipitating cause of the client's condition in this scenario.

D) This choice is incorrect because occupational exposure to toxins can have health implications, but it is not directly related to the client's signs and symptoms of congestive heart failure in this case.

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Correct Answer is A

Explanation

A) This choice is correct. Hypertension (high blood pressure) is a significant risk factor for congestive heart failure (CHF). Prolonged hypertension can lead to the heart's increased workload, causing it to weaken over time and eventually leading to CHF. The client's symptoms of fatigue, difficulty breathing, and nocturia (frequent urination at night) are common manifestations of CHF resulting from uncontrolled hypertension.

B) This choice is incorrect because diabetes mellitus, while a risk factor for cardiovascular disease, is not directly associated with the symptoms described by the client. However, diabetes can exacerbate CHF if the client's blood glucose levels are not well-controlled.

C) This choice is incorrect because smoking history is a risk factor for various cardiovascular diseases, but it is not specifically linked to the symptoms reported by the client in this case.

D) This choice is incorrect because a family history of heart disease may increase the client's risk of developing CHF, but it does not directly contribute to the current symptoms the client is experiencing.

A. Palpitations B. Angina pectoris C. Dyspnea on exertion D. Peripheral cyanosis

Correct Answer is C

Explanation

A) This choice is incorrect because palpitations refer to an abnormal awareness of the heart's beating, which is not described by the client.

B) This choice is incorrect because angina pectoris is chest pain or discomfort due to inadequate blood flow to the heart muscle. The client's complaint is related to physical activity causing fatigue and weakness, not chest pain.

C) This choice is correct. Dyspnea on exertion refers to shortness of breath or difficulty breathing that occurs with physical activity or exertion. The client's symptoms of feeling fatigued and weak after mild activity suggest exertional dyspnea, which is common in congestive heart failure.

D) This choice is incorrect because peripheral cyanosis is bluish discoloration of the skin and mucous membranes due to reduced blood flow, which is not described by the client.

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A client with a history of alcohol abuse and malnutrition is admitted with signs and symptoms of congestive heart failure. Which factor is likely a precipitating cause of the client's condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of hypertension and diabetes mellitus presents to the clinic with complaints of fatigue, difficulty breathing, and frequent urination at night. Which risk factor is most likely contributing to the client's symptoms?

Correct Answer is A

Explanation

A client with congestive heart failure complains of feeling fatigued and weak after mild physical activity, such as getting dressed or walking short distances. The nurse should identify this symptom as:

Correct Answer is C

Explanation

A client with suspected congestive heart failure undergoes a chest X-ray. The nurse should anticipate which finding that may be indicative of CHF?

A nurse is providing education to a client diagnosed with congestive heart failure. The client asks, "What are the most common causes of CHF?" How should the nurse respond?

A client with congestive heart failure is prescribed digoxin. The nurse should instruct the client to:

A nurse is providing discharge teaching to a client diagnosed with congestive heart failure. Which instruction is essential for the client to prevent exacerbation of symptoms?

A nurse is providing discharge teaching to a client with congestive heart failure. The client is prescribed an angiotensin-converting enzyme (ACE) inhibitor. Which instruction is essential for the client to follow?

A nurse is reviewing the diagnostic tests for a client suspected of having congestive heart failure. Which test is considered the gold standard for diagnosing CHF?

A nurse is reviewing a client's medical history and notes a diagnosis of uncontrolled diabetes mellitus. The nurse recognizes this as a significant risk factor for congestive heart failure due to its association with:

A client with congestive heart failure presents with swollen ankles, legs, and abdomen. The nurse should document these findings as: