Which statement made by a patient indicates a possible exacerbation of heart failure (HF)?

"I have gained 8 pounds this week."

"I am able to breathe easier today."

"I cooked dinner last night."

"There is no swelling in my feet."

Answer and Explanation

The Correct Answer is A

Choice A reason: A rapid weight gain is a common sign of fluid retention, which can indicate an exacerbation of heart failure.

Choice B reason: Being able to breathe easier would typically indicate an improvement in heart failure symptoms, not an exacerbation.

Choice C reason: Cooking dinner suggests a level of activity that is not indicative of an exacerbation of heart failure.

Choice D reason: The absence of swelling in the feet would generally be a positive sign, not indicative of an exacerbation of heart failure.

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Correct Answer is B

Explanation

Choice A reason: Encouraging adequate nutrition is important as patients with depression may have decreased appetite.

Choice B reason: Assuring the patient that everything will be fine may minimize their feelings and is not a therapeutic communication technique.

Choice C reason: Maintaining a safe milieu is essential for all patients, especially those with depression who may be at risk for self-harm.

Choice D reason: Using active listening skills is a key component of therapeutic communication and is essential in caring for patients with depression.

A. "I'll let your doctor know, and he may order a different medication." B. "These medications usually take a few weeks to bring about an improvement in your symptoms." C. "It is important to eat a more balanced diet to help this medication work." D. "The important thing now is getting more involved in patient activities."

Correct Answer is B

Explanation

Choice A reason: While it's important to communicate with the doctor, this does not provide immediate reassurance or information about the medication's typical onset of action.

Choice B reason: This is the most accurate response as SSRIs like sertraline (Zoloft) typically take several weeks to show full effects, and it's important for patients to understand this.

Choice C reason: While a balanced diet is important, it is not directly related to the effectiveness of sertraline in the short term.

Choice D reason: Encouraging involvement in activities is beneficial, but it does not address the patient's concern about the medication's effectiveness.

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Which statement made by a patient indicates a possible exacerbation of heart failure (HF)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nursing interventions for a patient with major depression would include all the following except:

Correct Answer is B

Explanation

Your patient has a diagnosis of major depressive disorder and has been started on sertraline (Zoloft) 50mg daily. After taking the medication for 3 days, the patient says, "I don't think the medicine is working. I don't want to take it any longer." What is your best response?

Correct Answer is B

Explanation

A nurse is preparing to administer digoxin to a client who has heart failure. Before administering this medication, which of the following actions should the nurse take?

Which of the following is not true about depression?

A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. Which of the following is an appropriate food choice for this client?

A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect?

A nurse in an acute care mental health facility is caring for a client who has major depression and states, "Everyone will be much better off when I'm gone." Which of the following actions should the nurse take first?

Your patient with major depressive disorder isolates herself in her room for the whole day. You find her sitting and staring out the window. What is your best therapeutic response when you walk into her room?

Your patient, who is manic, says, "Everything I do is great." How should you respond?

Which statement regarding the treatment of a myocardial infarction is incorrect?