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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.”.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale:

In a patient with severe dyspnea and a dry, hacking cough, auscultating the breath sounds would be the first action to assess for any abnormalities.

Choice B rationale:

Checking the capillary refill would not be the first action as it does not directly relate to the symptoms of severe dyspnea and a dry, hacking cough.

Choice C rationale:

Auscultating the abdomen would not be the first action as it does not directly relate to the symptoms of severe dyspnea and a dry, hacking cough.

Choice D rationale:

Asking about the patient’s allergies would not be the first action as it does not directly relate to the symptoms of severe dyspnea and a dry, hacking cough.

So, the correct answer is A, after analyzing all choices.

A. "The pain is level 3 to 5 (0 to 10 scale).”. B. "The pain has gotten worse over the last week.”. C. "The pain wakes me up at night.”. D. "The pain goes away with a nitroglycerin tablet.”. .

Correct Answer is D

Explanation

Choice A rationale:

The pain level of 3 to 5 on a scale of 0 to 10 does not specifically indicate chronic stable angina.

Choice B rationale:

Pain that has worsened over the last week could indicate a number of conditions, not specifically chronic stable angina.

Choice C rationale:

Pain that wakes a patient up at night could be a sign of a number of conditions, not specifically chronic stable angina.

Choice D rationale:

Chronic stable angina is characterized by chest pain that is relieved by rest or nitroglycerin. Therefore, if the patient’s pain goes away with a nitroglycerin tablet, it would help confirm a diagnosis of chronic stable angina.

So, the correct answer is Choice D, after analyzing all choices.

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Which statement by a patient with restrictive cardiomyopathy indicates that the nurse's discharge teaching about self-management has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who has chronic heart failure is admitted to the emergency department with severe dyspnea and a dry, hacking cough. Which action would the nurse take first?.

Correct Answer is A

Explanation

Which patient statement would help the nurse confirm the previous diagnosis of chronic stable angina?.

Correct Answer is D

Explanation

A patient is admitted to the emergency department and diagnosed as having an ST-segment-elevation myocardial infarction (STEMI). Which question would the nurse ask to determine whether the patient is a candidate for thrombolytic therapy?.

A nurse is supervising a new graduate who is providing discharge teaching to a patient diagnosed with hypertension. While teaching a patient about their newly prescribed diuretic (furosemide), which of the following statements made by the new graduate requires correction by the supervising nurse?.

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