A nurse is reinforcing discharge teaching to a client who has heart failure. Which of the following lifestyle modifications should the nurse include in the discharge teaching?
Encouraging increased mobility
Dietary and fluid restrictions
Cessation of intravenous drug use
Cessation of hormonal supplements
The Correct Answer is B
Choice A reason: Increased mobility is beneficial for general health but must be cautious in heart failure to avoid overexertion, which can exacerbate cardiac strain and fluid overload. Dietary and fluid restrictions are more critical to manage volume status, making mobility a secondary focus in discharge teaching for heart failure.
Choice B reason: Dietary and fluid restrictions, particularly low-sodium diets and limited fluid intake, are essential in heart failure to reduce fluid overload, preload, and cardiac workload. This prevents exacerbations like pulmonary edema, making it a priority lifestyle modification to include in discharge teaching for effective heart failure management.
Choice C reason: Cessation of intravenous drug use is relevant for specific populations but not a general heart failure management strategy. It does not directly address fluid overload or cardiac workload, unlike dietary and fluid restrictions, making it an incorrect focus for routine discharge teaching in heart failure.
Choice D reason: Cessation of hormonal supplements is not typically relevant to heart failure management unless specific hormones affect fluid balance or cardiac function. Dietary and fluid restrictions directly address the pathophysiology of fluid overload, making this an incorrect lifestyle modification for routine heart failure discharge teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Kawasaki disease primarily causes vasculitis, not muscle injury. It affects blood vessels, particularly coronary arteries, due to an immune response, not muscles. This statement is incorrect, as it misidentifies the target of the immune response, indicating a need for further education on the disease’s effects.
Choice B reason: Kawasaki disease is an immune-mediated vasculitis that can weaken coronary arteries, risking aneurysms and cardiac complications. This statement accurately reflects the disease’s pathophysiology, showing caregiver understanding of the education provided, making it the correct choice for the nurse to recognize.
Choice C reason: Kawasaki disease does not only affect the liver; it causes systemic vasculitis, particularly impacting coronary arteries. Liver involvement is rare and not primary. This statement is incorrect, as it misrepresents the disease’s scope, requiring further teaching to clarify its cardiovascular effects.
Choice D reason: Kawasaki disease involves systemic vasculitis, not just skin. While skin rashes occur, the primary concern is vascular, especially coronary, damage. This statement is incorrect, as it limits the disease to skin, indicating a need for education on its broader, particularly cardiac, implications.
Correct Answer is B
Explanation
Choice A reason: Chronic pulmonary disease is not a direct risk factor for peripheral artery disease, which is driven by atherosclerosis from factors like obesity or smoking. Pulmonary disease affects lungs, not arterial vasculature, making this an incorrect risk factor to include in teaching for peripheral artery disease.
Choice B reason: A body mass index of 35 indicates obesity, a major risk factor for peripheral artery disease due to increased atherosclerosis from dyslipidemia and inflammation. Obesity strains vascular health, promoting plaque buildup, making this a critical risk factor to include in teaching for disease prevention.
Choice C reason: Rheumatic fever causes cardiac complications, not peripheral artery disease, which results from arterial plaque buildup. It affects heart valves, not peripheral arteries, making it an incorrect risk factor to include in teaching, as it does not contribute to arterial insufficiency.
Choice D reason: History of venous thrombosis relates to venous disease, not arterial pathology like peripheral artery disease, which involves atherosclerosis. Venous and arterial diseases have distinct mechanisms, making venous thrombosis an incorrect risk factor to include in teaching about peripheral artery disease risk.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.