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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. Primary dementia is not characterized by temporary or reversible loss of brain function; it typically involves progressive and irreversible changes.

B. Forgetfulness that gradually progresses to disorientation is a common manifestation of primary dementia, indicating cognitive decline.

C. Hyper vigilant behaviors are not typical of dementia; instead, individuals may exhibit confusion or disorientation.

D. Sleeping more during the day than nighttime is not a specific manifestation of primary dementia and could be attributed to other factors, including other medical conditions or medications.

Correct Answer is A

Explanation

A. A blood pressure of 80/40 mm/Hg indicates hypotension, which is a contraindication for administering furosemide. The medication can further lower blood pressure and increase the risk of adverse effects.

B. An oxygen saturation of 95% is within normal limits and does not indicate a need to withhold furosemide.

C. A serum sodium level of 140 mEq/L is normal and would not warrant withholding the medication.

D. A serum potassium level of 4.8 mEq/L is also normal and safe for furosemide administration, as the medication may cause potassium loss but does not require withholding if the level is within range.

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