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 C
Explanation
A) This choice is incorrect because sudden weight gain, shortness of breath, and ankle swelling are not normal with CHF and may indicate worsening of the condition. The nurse should not reassure the client but rather take appropriate action to address the symptoms.
B) This choice is incorrect because the client's symptoms suggest fluid retention, and increasing fluid intake would exacerbate the condition. The nurse should not encourage the client to increase fluid intake without consulting the healthcare provider.
C) This choice is correct. The client's sudden weight gain, shortness of breath, and ankle swelling are signs of worsening congestive heart failure. The nurse's priority action is to notify the healthcare provider immediately to address the client's worsening condition and adjust the treatment plan as needed.
D) This choice is incorrect because administering a diuretic is not within the nurse's scope of practice without a healthcare provider's order. The nurse should first notify the healthcare provider to evaluate the client's condition and determine the appropriate intervention.
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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