Which statement by a patient with restrictive cardiomyopathy indicates that the nurse's discharge teaching about self-management has been effective?
"I will need to limit my intake of salt and fluids even in hot weather.”.
"I will avoid taking aspirin or other anti-inflammatory drugs.”.
"I will take antibiotics before my teeth are cleaned at the dental office.”.
"I can restart my exercise program that includes hiking and biking.”.
The Correct Answer is A
Choice A rationale:
Limiting salt and fluid intake is crucial for patients with restrictive cardiomyopathy to manage their condition.
Choice B rationale:
Avoiding aspirin or other anti-inflammatory drugs is not specifically related to the management of restrictive cardiomyopathy.
Choice C rationale:
Taking antibiotics before dental cleaning is a general recommendation for patients with certain heart conditions to prevent endocarditis, but it’s not specific to restrictive cardiomyopathy.
Choice D rationale:
Restarting an exercise program should be done under medical supervision and depends on the patient’s overall health status.
So, the correct answer is A, after analyzing all choices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Checking the pulse rate before taking nitroglycerin is not necessary.
Choice B rationale:
Sitting down before taking nitroglycerin can prevent dizziness and fainting, which are potential side effects of nitroglycerin.
Choice C rationale:
There is no need to remove the nitroglycerin patch before taking sublingual nitroglycerin.
Choice D rationale:
The nitroglycerin patch should not be used to treat acute chest pain.
So, the correct answer is B, after analyzing all choices.
Correct Answer is A
Explanation
Choice A rationale:
Elevated troponin is a sign of heart damage, which could be caused by a heart attack or other stresses on the heart. This is a critical finding that needs immediate attention.
Choice B rationale:
Q waves on an ECG can indicate a previous heart attack or myocardial infarction. However, they can also be a normal variant, meaning they are a harmless variation in the electrical activity of the heart.
Choice C rationale:
Bilateral crackles in the lungs can indicate mucus or fluid in the base of the lungs, often associated with conditions like pneumonia, heart failure, or bronchitis.
Choice D rationale:
Hyperglycemia, or high blood glucose, can be a sign of diabetes. If untreated, it can lead to serious complications like ketoacidosis.
So, the correct answer is Choice A, after analyzing all choices.
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