A nurse teaches a client with heart failure about energy ...

[DyllonKazuo]

A nurse teaches a client with heart failure about energy conservation. Which statement should the nurse include in this client's teaching?
 
  a. Walk until you become short of breath, and then walk back home.
  b. Gather everything you need for a chore before you begin.
  c. Pull rather than push or carry items heavier than 5 pounds.
  d. Take a walk after dinner every day to build up your strength.

Question 2

A nurse assesses a client who has a history of heart failure. Which question should the nurse ask to assess the extent of the client's heart failure?
 
  a. Do you have trouble breathing or chest pain?
  b. Are you able to walk upstairs without fatigue?
  c. Do you awake with breathlessness during the night?
  d. Do you have new-onset heaviness in your legs?

[jointhecircus]

Answer to Question 1

ANS: B
A client who has heart failure should be taught to conserve energy. Gathering all supplies needed for a chore at one time decreases the amount of energy needed. The client should not walk until becoming short of breath because he or she may not make it back home. Pushing a cart takes less energy than pulling or lifting. Although walking after dinner may help the client, the nurse should teach the client to complete activities when he or she has the most energy. This is usually in the morning.

Answer to Question 2

ANS: B
Clients with a history of heart failure generally have negative findings, such as shortness of breath. The nurse needs to determine whether the client's activity is the same or worse, or whether the client identifies a decrease in activity level. Trouble breathing, chest pain, breathlessness at night, and peripheral edema are symptoms of heart failure, but do not provide data that can determine the extent of the client's heart failure.

[DyllonKazuo]

Thank you

[jointhecircus]

Happy to help you