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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) This choice is correct. Beta-blockers should not be abruptly discontinued, as sudden discontinuation can lead to rebound effects and worsen the client's condition. Gradual tapering of the medication is necessary under the guidance of the healthcare provider.
B) This choice is incorrect because taking a beta-blocker with a high-fat meal is not necessary. Beta-blockers can be taken with or without food, but consistent administration is essential for optimal therapeutic effects.
C) This choice is incorrect because limiting fluid intake is not specific to the administration of beta-blockers. Fluid intake may need to be adjusted based on the client's overall fluid balance and congestive heart failure status, but it is not a direct instruction related to the medication.
D) This choice is incorrect because the timing of beta-blocker administration varies depending on the specific beta-blocker prescribed and the client's individual response. Some beta-blockers may be taken in the morning, while others may be taken in the evening. The client should follow the prescribed schedule given by the healthcare provider.
Correct Answer is D
Explanation
A) This choice is incorrect because consuming a diet high in sodium would exacerbate fluid retention in congestive heart failure. Clients with CHF should follow a low-sodium diet to reduce fluid overload and manage edema.
B) This choice is incorrect because limiting fluid intake to 1 liter per day is too restrictive and may lead to dehydration. Fluid restriction is essential for some clients with CHF, but the specific limit should be determined by the healthcare provider based on the client's individual needs.
C) This choice is incorrect because while potassium intake may need to be monitored, restricting potassium-rich foods is not a universal instruction for clients with CHF. It depends on the client's overall potassium levels and specific medication regimen.
D) This choice is correct. Following a low-sodium diet is essential for clients with congestive heart failure to reduce fluid retention and manage symptoms of fluid overload.
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