A patient has a new diagnosis of congestive heart failure. What type of education would be appropriate to give the patient regarding signs and symptoms to report to the provider?
Increased thirst.
A rise in blood pressure.
Dizziness when standing up too quickly.
Weight gain of 2 lbs or more in 24 hours.
The Correct Answer is D
Choice A rationale:
Increased thirst is not a specific sign of congestive heart failure.
Choice B rationale:
A rise in blood pressure is not a specific sign of congestive heart failure.
Choice C rationale:
Dizziness when standing up too quickly could be a sign of orthostatic hypotension, not specifically congestive heart failure.
Choice D rationale:
Weight gain of 2 lbs or more in 24 hours could indicate fluid retention, a common sign of congestive heart failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The provider prescribes 20 mEq of KCL. The bottle is labeled as 10 mEq/mL. Therefore, to administer 20 mEq, the nurse should give 2 mL (20 mEq ÷ 10 mEq/mL = 2 mL).
Choice B rationale:
Administering 2.5 mL would give 25 mEq of KCL, which is more than the prescribed dose.
Choice C rationale:
Administering 1.5 mL would give 15 mEq of KCL, which is less than the prescribed dose.
Choice D rationale:
Administering 1 mL would give 10 mEq of KCL, which is half the prescribed dose.
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale:
Keeping the client NPO after midnight is not necessary for an ECG. It is a non-invasive procedure that does not require fasting.
Choice B rationale:
Inspecting the electrode pads is important to ensure good contact with the skin and accurate readings.
Choice C rationale:
Instructing the client to breathe normally during the ECG helps to prevent artifacts in the tracing that could lead to misinterpretation.
Choice D rationale:
Administering an analgesic prior to the procedure is not necessary. An ECG is a painless procedure.
Choice E rationale:
Using alcohol to wipe the skin before placing the electrodes can improve the quality of the ECG by reducing skin impedance.
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