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A nurse is reinforcing teaching to a client who has arrhythmogenic cardiomyopathy about the risk for sudden cardiac death. Which of the following client statements indicates to the nurse an understanding of the teaching?

A.

"I should ask my son to drive me to the grocery store."

B.

"I am aware that I may develop frequent hiccups."

C.

"I will probably become easily constipated."

D.

"I will avoid competitive recreational sports."

Answer and Explanation

The Correct Answer is D

A. While it may be wise to avoid driving if experiencing symptoms, asking for assistance in general does not specifically address the risk of sudden cardiac death.  

 

B. Frequent hiccups are not a common indication or symptom directly related to arrhythmogenic cardiomyopathy or its risks.  

 

C. Constipation is not directly related to arrhythmogenic cardiomyopathy or the risk of sudden cardiac death.  

 

D. Avoiding competitive recreational sports is critical for clients with arrhythmogenic cardiomyopathy, as these activities can increase the risk of sudden cardiac events due to physical exertion.


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Correct Answer is B

Explanation

A. Using a thermometer to check the temperature of bath water is important for clients with PVD to prevent burns, indicating that this statement reflects understanding.

B. Wearing stockings with elastic tops is not recommended for clients with PVD as they can restrict blood flow and exacerbate symptoms. This indicates a need for further teaching.

C. The statement about not going barefoot is correct, as it helps prevent injury, which is crucial for clients with PVD.

D. Avoiding crossing legs is a proper action to promote circulation and prevent vascular complications, showing the client’s understanding of their condition.

Correct Answer is D

Explanation

A. While coronary arteries may change with age, the increased elasticity does not lead to insufficient oxygen; rather, it can affect their ability to respond to increased demand.

B. Weakening of the heart can contribute to heart failure but is not a direct explanation for how coronary artery disease causes angina.

C. Dilation of coronary arteries typically does not cause manifestations in coronary artery disease; instead, it is the narrowing (stenosis) that leads to issues.

D. Decreased diameter of the coronary arteries due to atherosclerosis is the primary issue in coronary artery disease, which leads to inadequate blood supply, oxygen, and nutrients to the heart muscle, causing symptoms like angina.

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