The nurse is addressing exercise and physical activity during discharge education with a client diagnosed with heart failure. What should the nurse teach this client about exercise?

Start your exercise program with high-impact activities

Keep exercising but slow down if you get dizzy or short of breath

Do not exercise unsupervised

Eventually aim to work up to 30 minutes of exercise each day

Answer and Explanation

The Correct Answer is B

Choice A reason: High-impact activities, such as running, increase cardiac demand and oxygen consumption, which can exacerbate heart failure symptoms due to reduced cardiac reserve. These activities are contraindicated, as they may lead to decompensation, worsening dyspnea, or fatigue in clients with heart failure.

Choice B reason: In heart failure, exercise improves cardiovascular fitness but must be moderated to avoid over PLEASE ASSIST WITH FORMATTING overexertion. Slowing down if dizzy or short of breath prevents decompensation by reducing cardiac strain, ensuring safety while promoting gradual physical activity.

Choice C reason: Unsupervised exercise is not universally contraindicated in heart failure, as tailored exercise programs can be safe with medical clearance. Requiring constant supervision is overly restrictive and may discourage beneficial physical activity, which is important for improving heart failure outcomes with proper guidance.

Choice D reason: Aiming for 30 minutes of daily exercise is a long-term goal for heart failure clients but may be unrealistic initially due to limited exercise tolerance. Gradual progression under medical supervision is needed, as immediate high-duration exercise could lead to overexertion and worsening symptoms.

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Correct Answer is A

Explanation

Choice A reason: Anorexia nervosa involves severe food restriction, leading to malnutrition and weight loss. Ensuring the client eats well and maintains weight directly addresses the core physiological issue, promoting recovery by restoring nutritional balance and supporting organ function, which is critical for effective treatment and long-term health.

Choice B reason: Eating meals together may foster a supportive environment but does not ensure nutritional adequacy or weight maintenance. It may provide emotional support, but without specific focus on the client’s dietary intake and weight restoration, it is less effective in addressing the primary physiological needs of anorexia nervosa.

Choice C reason: Negotiating family conflicts can reduce stress, which may exacerbate anorexia nervosa symptoms. However, it does not directly address the client’s nutritional or weight restoration needs, which are the primary focus in anorexia treatment. Emotional health is secondary to physical recovery in effective education.

Choice D reason: Reducing discussion about troublesome family members may decrease emotional tension but does not address the core issue of anorexia nervosa, which is severe food restriction and weight loss. This approach lacks direct impact on the physiological aspects of recovery, making it less relevant to effective education.

A. Fried chicken, mashed potatoes, milk B. Peanut butter sandwich, chips, cola C. Turkey sandwich, cheese slices, milk D. Spaghetti, garlic bread, salad, tea

Correct Answer is C

Explanation

Choice A reason: Fried chicken and mashed potatoes are high in fat and carbohydrates, which may provide energy but lack balanced nutrition. Milk offers protein, but the meal’s high caloric density may not suit the client’s hyperactive state, requiring lighter, nutrient-dense options.

Choice B reason: A peanut butter sandwich, chips, and cola are high in fat and sugar, providing quick energy but lacking balanced nutrients. Cola’s caffeine may exacerbate mania, increasing agitation, making this meal less suitable for a manic client’s nutritional needs.

Choice C reason: A turkey sandwich, cheese slices, and milk provide balanced protein, carbohydrates, and calcium, supporting energy needs during mania’s hyperactive state. Milk avoids caffeine, which could worsen agitation, making this meal ideal for nutritional balance and calming effects.

Choice D reason: Spaghetti, garlic bread, and salad are nutritious but carbohydrate-heavy, potentially causing energy spikes and crashes in manic clients. Tea may contain caffeine, increasing agitation, making this meal less optimal than a balanced, low-stimulant option.

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The nurse is addressing exercise and physical activity during discharge education with a client diagnosed with heart failure. What should the nurse teach this client about exercise?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse provides education to a client's family diagnosed with anorexia nervosa. Which statement would indicate that the education was effective?

Correct Answer is A

Explanation

The nurse is caring for a client experiencing mania who is pacing, cannot sit, with pressured speech. Which meal will the nurse provide to best meet the nutritional needs of this client?

Correct Answer is C

Explanation

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