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?

Restricting all physical activity to prevent strain on the heart.

Weighing themselves once a week and reporting sudden weight gain.

Consuming a high-sodium diet to increase fluid retention.

Taking prescribed medications only when symptoms worsen.

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because restricting all physical activity is not recommended for clients with congestive heart failure. Regular, moderate exercise can be beneficial for heart health when appropriately prescribed by the healthcare provider.

B) This choice is correct. Regularly weighing themselves, ideally daily, and reporting sudden weight gain to the healthcare provider is essential for clients with congestive heart failure. Sudden weight gain may indicate fluid retention, a worsening of heart failure, or medication non-compliance.

C) This choice is incorrect because a high-sodium diet can worsen fluid retention and exacerbate congestive heart failure symptoms. The client should follow a low-sodium diet to manage fluid balance.

D) This choice is incorrect because taking prescribed medications only when symptoms worsen is not appropriate for congestive heart failure management. The client should take prescribed medications as directed by the healthcare provider, even when feeling well, to prevent symptom exacerbation and improve heart function.

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Correct Answer is B

Explanation

A) This choice is incorrect because a high-pitched, scratchy sound heard during inhalation is called a pleural friction rub and is associated with pleuritis or inflammation of the pleura, not congestive heart failure.

B) This choice is correct. An S3 heart sound is an extra heart sound heard immediately after S1 and S2, often described as a "ventricular gallop." It is associated with congestive heart failure and indicates increased fluid volume and strain on the ventricles.

C) This choice is incorrect because a prolonged, whooshing sound heard during systole is a heart murmur, which can be caused by various conditions, but it is not specific to the presence of an S3 sound.

D) This choice is incorrect because an irregular heart rhythm with varying intensity is characteristic of cardiac arrhythmias or irregular heartbeats and is not specific to the presence of an S3 sound.

A. Complete blood count (CBC) B. Basic metabolic panel (BMP) C. Brain natriuretic peptide (BNP) level D. C-reactive protein (CRP) level

Correct Answer is C

Explanation

A) This choice is incorrect because a complete blood count (CBC) is a general blood test that measures different components of the blood, such as red blood cells, white blood cells, and platelets. It is not specifically used to measure heart strain or diagnose CHF.

B) This choice is incorrect because a basic metabolic panel (BMP) is a blood test that measures electrolytes, kidney function, and glucose levels. It is not specific to diagnosing CHF.

C) This choice is correct. A brain natriuretic peptide (BNP) level is a blood test specifically used to measure heart strain. Elevated BNP levels can indicate heart failure, making it a valuable diagnostic tool in assessing suspected CHF.

D) This choice is incorrect because a C-reactive protein (CRP) level is a marker of inflammation and is not specific to diagnosing CHF.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is auscultating a client's heart sounds and hears a third heart sound (S3). Which finding is consistent with the presence of an S3 sound in a client with congestive heart failure?

Correct Answer is B

Explanation

A nurse is caring for a client with suspected congestive heart failure. Which blood test is specifically used to measure heart strain and assist in the diagnosis of CHF?

Correct Answer is C

Explanation

A client with suspected congestive heart failure undergoes an echocardiogram. The nurse should expect which parameter to be measured during the echocardiogram to assess the client's heart function?

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 client with congestive heart failure is prescribed digoxin. The nurse should monitor the client's:

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 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 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?

A client with congestive heart failure is prescribed a loop diuretic. The nurse should closely monitor the client for which electrolyte imbalance associated with this medication?

A nurse is conducting a community health education session on heart health. Which lifestyle factor should the nurse emphasize as a potential modifiable risk factor for congestive heart failure?