Author Question: A nurse plans discharge instructions of a 78-year-old black client with newly diagnosed dilated ... (Read 59 times)

craiczarry · **on:** Jul 11, 2018

A nurse plans discharge instructions of a 78-year-old black client with newly diagnosed dilated heart failure. The client states, Will I be going home on hospice now that my heart is failing?

Which of the following responses is most appropriate by the nurse?

A) Heart failure is a chronic condition that can be controlled with medication.
B) No, but you will have palliative care.
C) You must go to cardiac rehabilitation.
D) You will need to take medications for the rest of your life.

Question 2

A 73-year-old client is admitted to the hospital. A nurse assesses the client for frailty. Which of the following indicate frailty? (Select all that apply.)

A) Diminished handgrip strength
B) High level of physical activity
C) Intentional weight loss
D) Self-reported exhaustion
E) Slow walking speed

blazinlyss · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

Ans: A
The client with heart failure will need medications and will benefit from cardiac rehabilitation; however, these answers avoid the issue of lack of understanding of the type of disease heart failure is. Palliative care is not appropriate at this time.

Answer to Question 2

Ans: A, D, E
Patients are considered fail when they have three or more of the following conditions: low level of physical activity, slow walking speed, unintentional weight loss (i.e., 10 lb or more during the past year), weakness (measured by diminished handgrip strength), and self-reported exhaustion (Koller & Rockwood, 2013).