The nurse is educating a client newly diagnosed with coronary artery disease. What statement by the client would lead the nurse to understand more teaching is needed?

I will wear layered clothing when walking outside in winter.

I will walk early in the morning when it is hot outside.

If I get shortness of breath, I should slow down a bit.

My exercise intensity should not exceed my ability to talk.

Answer and Explanation

The Correct Answer is B

A. "I will wear layered clothing when walking outside in winter": This statement shows an understanding of the need to dress appropriately for weather conditions, which is important in managing symptoms during physical activity.

B. "I will walk early in the morning when it is hot outside": This statement indicates a lack of understanding regarding the ideal timing for outdoor activities, especially in hot weather. Exercising during the cooler parts of the day (such as early morning or late evening) is recommended to avoid heat-related stress and potential exacerbation of cardiovascular symptoms.

C. "If I get shortness of breath, I should slow down a bit": This statement demonstrates an understanding of monitoring symptoms during exercise and adjusting activity levels accordingly, which is an important aspect of managing coronary artery disease.

D. "My exercise intensity should not exceed my ability to talk": This statement reflects an understanding of the recommended exercise intensity level based on the ability to talk comfortably during physical activity, known as the "talk test."

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Correct Answer is D

Explanation

A. Sinus bradycardia: Sinus bradycardia is characterized by a regular rhythm with a heart rate less than 60 beats per minute. In this case, the heart rate is 64 beats per minute, which falls within the normal range, not consistent with sinus bradycardia.

B. Sinus arrhythmia: Sinus arrhythmia typically presents as a variation in the R-R interval with respiration, often seen as an irregularity in the heart rate. The provided characteristics describe a regular rhythm, so sinus arrhythmia is not the correct interpretation.

C. Sinus tachycardia: Sinus tachycardia is characterized by a regular rhythm with a heart rate greater than 100 beats per minute. The heart rate in this case is 64 beats per minute, which is not indicative of sinus tachycardia.

D. Normal sinus rhythm: Normal sinus rhythm refers to a regular rhythm with a heart rate between 60 and 100 beats per minute, P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and normal QRS complex duration (less than 0.12 seconds). The provided characteristics, including regular P waves, regular QRS complexes, a PR interval of 0.16 seconds, and a heart rate of 64 beats per minute, align with a normal sinus rhythm interpretation.

A. Weigh yourself once a week. B. Drink 3 liters of fluid per day. C. Engage in exercise daily. D. Restrict dietary potassium.

Correct Answer is C

Explanation

A. Weigh yourself once a week:

This is an important part of heart failure management as weight gain can indicate fluid retention, a common symptom of heart failure. The nurse should instruct the client to weigh themselves at the same time of day, using the same scale, and wearing similar clothing each time. Any sudden weight gain should be reported to the healthcare provider promptly.

B. Drink 3 liters of fluid per day:

This option is not appropriate for most heart failure patients, especially those with fluid retention issues. Fluid intake should be monitored and restricted based on the individual's condition and healthcare provider's recommendations. Consuming too much fluid can exacerbate fluid retention and worsen heart failure symptoms.

C. Engage in exercise daily:

Exercise is generally recommended for heart failure patients, but the type, intensity, and frequency of exercise should be tailored to the individual's condition. The nurse should encourage the client to engage in regular physical activity as tolerated, following a structured exercise plan approved by their healthcare provider. Activities like walking, cycling, or water aerobics can be beneficial for heart health.

D. Restrict dietary potassium:

This option is not typically included in lifestyle modifications for heart failure unless the client has specific potassium-related issues or is taking medications that require potassium restriction. Potassium is an important electrolyte for heart function, and most heart failure patients are advised to consume a balanced diet with moderate potassium intake, unless otherwise directed by their healthcare provider.

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The nurse is educating a client newly diagnosed with coronary artery disease. What statement by the client would lead the nurse to understand more teaching is needed?

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Naxlex Comprehensive Predictor Exams

The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 seconds, and the QRS complexes measure 0.06 seconds. The overall heart rate is 64 beats/minute. Which would be a correct interpretation based on these characteristics?

Correct Answer is D

Explanation

The nurse is teaching a client about lifestyle modifications after a heart failure diagnosis. What will be included in the teaching?

Correct Answer is C

Explanation

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