A nurse is reinforcing teaching to a client who has cardiomyopathy about side effects of beta blockers. Which of the following client statements should indicate to the nurse that the client understands the teaching?
(Select All that Apply.)

"This medication can make me have mood swings."

"I may have urinary incontinence while taking this medication."

"I should not drive while taking this new medication."

"I may have frequent hiccups while taking this medication."

"This new medication may decrease my sex drive."

Answer and Explanation

Correct Answer : A,C,E

A. "This medication can make me have mood swings." Beta blockers can cause mood changes, such as depression or mood swings, as a side effect.

B. "I may have urinary incontinence while taking this medication." Urinary incontinence is not a common side effect of beta blockers.

C. "I should not drive while taking this new medication." Beta blockers can cause dizziness or fatigue, so clients should avoid driving until they know how the medication affects them.

D. "I may have frequent hiccups while taking this medication." Hiccups are not a common side effect of beta blockers.

E. "This new medication may decrease my sex drive." Beta blockers can sometimes cause decreased libido as a side effect.

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Correct Answer is A

Explanation

A. "Cardiac rehabilitation cannot undo the damage to your heart, but it can help you get back to your previous level of activity safely." This response is therapeutic and educative, helping the client understand that while damage cannot be reversed, rehabilitation supports safe recovery and improved quality of life.

B. "Your doctor is the expert here, and I'm sure he would only recommend what is best for you." This response does not address the client’s concerns and lacks supportive or educational value.

C. "You are probably right and I agree with you, but I still think you should go." This dismissive response fails to provide support, education, or empathy.

D. "It's not unusual to feel that way at first, but once you learn the routine, you'll be fine." Although this statement offers some support, it lacks the educational element needed to address the client’s concerns about the purpose of rehabilitation.

A. S3 heart sounds B. Increase in point of maximum impulse (PMI) C. Irregular pulsations D. Bradycardia

Correct Answer is C

Explanation

A. S3 heart sounds. An S3 sound is more indicative of heart failure rather than PVCs specifically.

B. Increase in point of maximum impulse (PMI). PMI is typically displaced in conditions like ventricular hypertrophy or heart failure, not PVCs.

C. Irregular pulsations. PVCs are extra beats that interrupt the heart’s normal rhythm, leading to irregular pulsations on palpation.

D. Bradycardia. PVCs usually occur in the context of normal or elevated heart rates rather than bradycardia.

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A nurse is reinforcing teaching to a client who has cardiomyopathy about side effects of beta blockers. Which of the following client statements should indicate to the nurse that the client understands the teaching? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is collecting data from a client who is receiving continuous cardiac monitoring that is indicating premature ventricular contractions (PVCs). Which of the following findings should the nurse expect when assessing the client?

Correct Answer is C

Explanation

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A nurse is reinforcing teaching to a client who has cardiomyopathy about side effects of beta blockers. Which of the following client statements should indicate to the nurse that the client understands the teaching?
(Select All that Apply.)