A nurse working in the heart failure clinic is preparing to teach a 74-year-old client with newly diagnosed heart failure. Which of the following client statements indicates that education has been effective?

I will make an appointment to see the health care provider twice a year."

I will walk only when necessary"

"The nitroglycerin patch will be used for any chest pain that develops."

"I will call the health care provider if my weight increases from 124 to 130 pounds weekly.

Answer and Explanation

The Correct Answer is D

A. Clients with heart failure typically require more frequent follow-up than twice a year, especially after a new diagnosis.
B. Activity restriction is not generally encouraged unless the client is symptomatic; regular physical activity (as tolerated) is beneficial in managing heart failure.
C. Nitroglycerin patches are not typically used for sudden chest pain; sublingual nitroglycerin is used for acute episodes.
D. A weight gain of 6 pounds (from 124 to 130 pounds) in one week may indicate fluid retention and worsening heart failure. Promptly notifying the healthcare provider is appropriate and demonstrates effective understanding of self-monitoring and management.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. "Tremors, nervousness, and insomnia may indicate your dose is too high." — These are signs of hyperthyroidism and may indicate overdosage of levothyroxine, which should be reported to the healthcare provider.
B. "The medication decreases the overproduction of the thyroid hormone thyroxine." — Levothyroxine is used to replace low levels of thyroid hormone in hypothyroidism, not to reduce overproduction.
C. "Take this medication until your symptoms are gone and then discontinue." — Levothyroxine is usually a lifelong therapy for primary hypothyroidism, not a short-term treatment.
D. "Symptoms improve immediately after starting the medication." — It may take several weeks (1–3 weeks) to see improvement in symptoms after starting levothyroxine.

A. High Fowler's with neck in a neutral position B. Semi-Fowler's with neck extended C. High Fowler's with neck extended D. Semi-Fowler's with neck in a neutral position

Correct Answer is D

Explanation

A. High Fowler's with neck in a neutral position — While a neutral neck position is correct to reduce tension on the suture line, high Fowler's may cause discomfort or strain after surgery.
B. Semi-Fowler's with neck extended — Neck extension is contraindicated as it can put strain on the surgical site and compromise healing.
C. High Fowler's with neck extended — Both the high Fowler’s position and neck extension are inappropriate postoperatively as they can increase tension on the incision and risk complications.
D. Semi-Fowler's with neck in a neutral position — This position reduces swelling and pressure on the neck area while minimizing tension on the surgical site, promoting healing and preventing complications such as hemorrhage or airway obstruction.

View Question and Answer

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

A nurse working in the heart failure clinic is preparing to teach a 74-year-old client with newly diagnosed heart failure. Which of the following client statements indicates that education has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching about levothyroxine to a client who has primary hypothyroidism. Which of the following statements should the nurse use when teaching the client?

Correct Answer is A

Explanation

A nurse is caring for a client who is eight hr. postoperative following a subtotal thyroidectomy. In which of the following positions should the nurse keep the client?

Correct Answer is D

Explanation

A nurse is presenting a community-based program about HIV and AIDS. A client asks the nurse to describe the initial symptoms experienced with HIV infection. Which of the following manifestations should the nurse include in explaining initial symptoms?

A client has come to the clinic for a follow-up assessment that will include a BP reading. To ensure an accurate reading, the nurse confirms that the client has performed which action?

A client with a history of hypertension and heart failure arrives for a scheduled clinic appointment and tells the nurse, "My feet are killing me. These shoes got so tight. The nurse's best initial action is to

The RN is providing education on exercise programs for clients with heart failure. Which of the following statements by the client requires additional teaching?

What instruction would the nurse include in the discharge planning for a client with a urinary tract infection?

The nurse is admitting a client who has had a syncopal episode at home. The client's BP is 120/88. The client has a history of hypertension and reports that the healthcare provider has increased their antihypertensive medication recently. What should the nurse do next?