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:

Palpitations

Angina pectoris

Dyspnea on exertion

Peripheral cyanosis

Answer and Explanation

The Correct Answer is C

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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Correct Answer is C

Explanation

A) This choice is incorrect because taking digoxin with a high-fat meal is not necessary. Digoxin can be taken with or without food, but consistent administration is essential for optimal therapeutic effects.

B) This choice is incorrect because skipping a dose of digoxin can lead to suboptimal medication levels and reduced effectiveness. If the client experiences nausea or vomiting, they should contact their healthcare provider for guidance.

C) This choice is correct. Digoxin is used to treat congestive heart failure and other cardiac conditions. It is crucial for clients to monitor their blood pressure regularly, especially if their healthcare provider has instructed them to adjust the medication dose based on their blood pressure readings.

D) This choice is incorrect because while avoiding certain over-the-counter medications is essential while on digoxin due to potential drug interactions, it is not the primary instruction for the client. The client should discuss any new medications, including over-the-counter drugs, with their healthcare provider to ensure they are safe to take with digoxin.

A. Clubbing B. Peripheral edema C. Pitting edema D. Ascites

Correct Answer is B

Explanation

A) This choice is incorrect because clubbing refers to the enlargement of the fingertips and nails due to chronic hypoxia, which is not related to the client's reported symptoms.

B) This choice is correct. Peripheral edema refers to swelling in the legs, ankles, and feet, which is a common symptom of congestive heart failure. The client's symptoms of swollen ankles, legs, and abdomen indicate peripheral edema.

C) This choice is incorrect because pitting edema is a specific type of edema where pressure on the skin leaves an indentation or "pit." While the client's edema may indeed be pitting, the question does not provide enough information to confirm this.

D) This choice is incorrect because ascites is the accumulation of fluid in the abdominal cavity and is not specific to the client's reported symptoms of swollen ankles and legs.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

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

Correct Answer is B

Explanation

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?

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 reports waking up at night with sudden breathlessness and feeling the need to sit upright to breathe comfortably. The nurse should document this symptom as:

A client with congestive heart failure is prescribed furosemide, a loop diuretic. The nurse should monitor the client for which potential adverse effect of this medication?

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 caring for a client with congestive heart failure who is prescribed a beta-blocker. The nurse should instruct the client to:

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:

A nurse is providing education to a client with congestive heart failure regarding dietary management. Which instruction is essential for the nurse to include?