A client diagnosed with cardiomyopathy is being discharged to ...

[mynx]

A client diagnosed with cardiomyopathy is being discharged to home. What client statement indicates discharge teaching has been effective?
 
  A) I will exercise as much as possible, regardless of feeling weak and short of breath.
  B) My pants getting tight around the waist, means I'm eating too much and should cut back on food.
  C) I will eat foods containing sodium only if drinking water with them.
  D) I will see the doctor to discuss implanting a cardiac defibrillator next week.

Question 2

The nurse identifies the diagnosis of Excess Fluid Volume as appropriate for a client with cardiomyopathy. Which interventions should the nurse emphasize when planning this client's care?
 
  Select all that apply.
  A) Monitor brain natriuretic peptide (BNP) level.
  B) Provide oxygen as prescribed.
  C) Assess respiratory status and lung sounds every 4 hours and as needed.
  D) Provide information about activity upon discharge.
  E) Monitor intake and output.

[Chelseyj.hasty]

Answer to Question 1

Answer: D

Evidence that discharge instruction is effective for a client with cardiomyopathy would be the statement I will see the doctor to discuss implanting a cardiac defibrillator next week, as sudden cardiac death can occur with this medical diagnosis. The other client statements would indicate that discharge teaching was not effective and the client needs additional instruction and follow-up.

Answer to Question 2

Answer: C, E

Interventions appropriate for the nursing diagnosis of Excess Fluid Volume include assessing respiratory status and lung sounds every 4 hours and as needed and monitoring intake and output. Providing oxygen and monitoring BNP level are interventions appropriate for the diagnosis of Decreased Cardiac Output. Providing information about activity upon discharge would be appropriate for the nursing diagnosis of Activity Intolerance.

[mynx]

Correct answers!

[Chelseyj.hasty]

Great! Please up vote