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: Discouraging the client from expressing anger is not therapeutic and can inhibit emotional expression, which is important in managing depression.

Choice B reason: Reinforcing assertive communication techniques is beneficial as it helps clients express themselves in a healthy way, which is a key aspect of depression management.

Choice C reason: Setting goals is important, but it should be done collaboratively with the client to empower them and ensure the goals are realistic and achievable.

Choice D reason: Scheduling daily self-care activities is helpful, but teaching the client how to manage their own schedule can promote independence and self-efficacy.

A. The pain worsens with deep inspiration. B. The pain persists with rest and organic nitrates. C. Exertion and anxiety can trigger the pain. D. The pain usually lasts more than 20 minutes.

Correct Answer is C

Explanation

Choice A reason: Anginal pain typically does not worsen with deep inspiration; this is more characteristic of pleuritic chest pain.

Choice B reason: Anginal pain usually does not persist with rest and organic nitrates; these interventions are typically used to alleviate angina.

Choice C reason: Exertion and anxiety increase the heart's demand for oxygen, which can trigger anginal pain due to reduced blood flow in narrowed coronary arteries.

Choice D reason: Anginal pain typically lasts for a short time, usually less than 20 minutes. If the pain lasts longer, it may indicate a more serious condition like a myocardial infarction.

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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

A nurse is reviewing the plan of care for a client who has depression. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who has a new diagnosis of angina pectoris. Which of the following information about anginal pain should the nurse include in the teaching?

Correct Answer is C

Explanation

The nurse is reinforcing teaching to the patient about controlling cholesterol with diet. Which of the following dietary actions help reduce cholesterol? Select all that apply.

A nurse is caring for a client who has depression. After two days of treatment, the nurse notices that the client is suddenly more active and there are no longer signs of a depressive state. Which of the following interventions should the nurse recommend for the plan of care?

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?

Which of the following is not true about depression?

The patient is being discharged on furosemide (Lasix). The nurse evaluates the patient as understanding medication teaching if the patient states that which of the following laboratory tests will be monitored as ordered?

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

A patient with heart failure is prescribed bedrest but becomes angry and walks to the bathroom independently to use the toilet. How should the nurse handle this situation?

A nurse is collecting data from a client who has depression to identify his ability to perform activities of daily living (ADLs) prior to discharge. Which of the following data should the nurse collect? (Select all that apply.)