A nurse is providing discharge teaching about safety considerations to an older adult client who lives at home. The client has heart failure and a new prescription for hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?

"I will weigh myself once weekly."

"I will take my new medication in the evening."

"I will leave a light on in my bathroom at night."

"I will take a hot bath before going to bed."

Answer and Explanation

The Correct Answer is C

A.   Weighing once weekly might not be frequent enough for monitoring changes related to heart failure or medication effects.
B.   The timing of hydrochlorothiazide administration isn't critical to safety considerations; it's typically taken in the morning due to its diuretic effect.
C.   Leaving a light on in the bathroom at night can help prevent falls, a common concern in older adults, especially those with heart failure.
D.   Taking a hot bath before bed might not contribute significantly to safety considerations related to heart failure or medication use.

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Correct Answer is D

Explanation

A. Assisting the client into a semi-Fowler's position might be beneficial but doesn't directly address dysphagia while taking medications.
B. Timing medications between meals isn't directly related to improving medication intake for someone with dysphagia.
C. Using a straw might not be recommended as it could increase the risk of aspiration.
D. Administering medications one at a time allows for better control and observation of swallowing ability and reduces the risk of aspiration.

A. Drink a cup of hot cocoa before bedtime. B. Exercise 1 hr before bedtime. C. Eat a light carbohydrate snack before bedtime. D. Take a 30-min nap daily.

Correct Answer is C

Explanation

A. Drinking a cup of hot cocoa before bedtime might not be advisable due to the caffeine content, which can interfere with sleep.
B. Exercising vigorously close to bedtime can increase alertness and make it harder to fall asleep.
C. Eating a light carbohydrate snack before bedtime, such as a small amount of cereal or a slice of bread, can promote sleep as carbohydrates increase the availability of tryptophan, which is a precursor to serotonin and melatonin, both associated with sleep.
D. Taking a nap during the day might interfere with nighttime sleep if done too close to bedtime.

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A nurse is providing discharge teaching about safety considerations to an older adult client who lives at home. The client has heart failure and a new prescription for hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is C

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