The nurse is teaching a client with heart failure how to avoid complications and future hospitalizations. Which of the following statements by the client requires additional teaching?

I will weigh myself daily and notify the healthcare provider if I gain 3 pounds in one day.

I will notify the healthcare provider if I am becoming increasingly short of breath at rest.

I will include lower sodium intake in my daily diet.

I understand that I may need to sleep sitting up in a reclining chair.

Answer and Explanation

The Correct Answer is D

Choice A reason: Daily weight monitoring and reporting a 3-pound gain in one day indicates fluid retention, a sign of worsening heart failure. This is correct and shows understanding of self-monitoring to prevent complications, requiring no further teaching.

Choice B reason: Notifying the provider about increasing shortness of breath at rest is appropriate, as it signals worsening heart failure due to reduced cardiac output or pulmonary edema. This reflects proper understanding of symptom monitoring, requiring no additional teaching.

Choice C reason: A low-sodium diet reduces fluid retention in heart failure by decreasing sodium-induced water retention, preventing worsening of edema or congestion. This statement is correct and demonstrates understanding of dietary management, requiring no further teaching.

Choice D reason: Sleeping in a reclining chair may occur in severe heart failure due to orthopnea, but it is not a standard recommendation. It suggests poor symptom control, requiring further teaching on optimizing medical management, such as medication adherence and fluid monitoring, to prevent this need.

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

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. Pacemaker spikes before each QRS complex B. Pacemaker spikes after each P wave C. Pacemaker spikes with each T wave D. Pacemaker spikes after each QRS complex

Correct Answer is A

Explanation

Choice A reason: A ventricular pacemaker stimulates the ventricles, producing a spike on the ECG before each QRS complex, indicating proper pacing and capture. This ensures the ventricles contract in response to the pacemaker’s electrical impulse, maintaining adequate cardiac output in clients with conduction issues.

Choice B reason: Pacemaker spikes after each P wave suggest atrial pacing, not ventricular pacing. Ventricular pacemakers target ventricular contraction, so spikes should precede the QRS complex, not follow the P wave, making this an incorrect indicator of proper ventricular pacemaker function.

Choice C reason: Pacemaker spikes with each T wave are not indicative of proper ventricular pacemaker function. T waves represent ventricular repolarization, and pacing at this phase is ineffective and potentially dangerous, as it does not initiate ventricular contraction, ruling out this option.

Choice D reason: Pacemaker spikes after each QRS complex indicate failure to pace appropriately, as ventricular depolarization has already occurred. Proper ventricular pacing requires spikes before the QRS to initiate contraction, making this an incorrect sign of a functioning ventricular pacemaker.

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

The nurse is teaching a client with heart failure how to avoid complications and future hospitalizations. Which of the following statements by the client requires additional teaching?

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

A nurse is caring for a client with a ventricular pacemaker who is on ECG monitoring. The nurse understands that the pacemaker is functioning properly when which of the following appears on the monitor strip?

Correct Answer is A

Explanation

The nurse is providing discharge instructions to a client who is prescribed lisinopril, an ACE inhibitor. Which statement by the client demonstrates proper understanding of the discharge instructions?

A client with depression is prescribed phenelzine (Nardil). The client says to the nurse, “I will need to watch my diet with this medication. What food options should I avoid?” Which of the following is the correct response by the nurse?

A client is scheduled for electroconvulsive therapy (ECT). The nurse teaches that the client:

The client’s lithium level is 1.8 mEq/L. The first appropriate nursing action is to:

A client was admitted to the inpatient unit for depression and is prescribed a selective serotonin reuptake inhibitor (SSRI). Which sign or symptom would the nurse include in the teaching session about serotonin syndrome?

The client has been diagnosed with severe depression and prescribed sertraline (Zoloft). Which assessment of the client by the nurse is a priority after initiation of the medication?

A nurse is preparing to administer metoprolol 25 mg PO to a client with a history of hypertension and heart failure. The client’s vital signs are: BP 132/78 mm Hg, HR 86 beats per minute, and respiratory rate 18 breaths per minute. Which action should the nurse take?

The nurse is evaluating the progress of a client with bulimia. Which behavior would indicate that the client is making positive progress?