A client admitted with the diagnosis of cardiomyopathy becomes ...

[sc00by25]

A client admitted with the diagnosis of cardiomyopathy becomes short of breath with ambulation and eating, and fatigued with routine care activities.
 
  Which nursing diagnosis does the nurse include in the client's plan of care?
  A) Imbalanced Nutrition: Less than Body Requirements
  B) Deficient Knowledge
  C) Activity Intolerance
  D) Self-Care Deficit

Question 2

An older adult client diagnosed with cardiomyopathy reports having to rest between activities during the day. The client asks the nurse why this is occurring.
 
  Which reason should the nurse include in the response to the client?
  A) Increased stroke volume
  B) Decreased cardiac output
  C) An elongated and dilated aorta
  D) Increased blood pressure

[juicepod]

Answer to Question 1

Answer: C

The client is short of breath with ambulation and eating, and fatigued with routine care activities. The nursing diagnosis of Activity Intolerance is appropriate for the client at this time. There is not enough information to determine if the client has a knowledge deficit. Shortness of breath with meals does not indicate that the client has Imbalanced Nutrition. Fatigue with routine care activities does not necessarily mean that the client has a Self-Care Deficit.

Answer to Question 2

Answer: B

Decreased cardiac output is a result of decreased efficiency and contractibility of the myocardium. Rest could be required after each activity that puts physiological stress on the heart. Less blood is pumped from the heart to the rest of the body with a decreased cardiac output, and this has a direct effect on the activity level that can be tolerated. It is unknown if the client has high blood pressure, an elongated and dilated aorta, or increased stroke volume.