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?
"I should ask my son to drive me to the grocery store."
"I am aware that I may develop frequent hiccups."
"I will probably become easily constipated."
"I will avoid competitive recreational sports."
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 progressive multiple sclerosis is characterized by a gradual progression of symptoms without relapses, so this does not match the client's pattern.
B. Relapsing-remitting multiple sclerosis is defined by episodes of exacerbation (active symptoms) followed by periods of remission (no symptoms), which aligns with the client's description.
C. Secondary progressive multiple sclerosis follows an initial relapsing-remitting course but leads to a more continuous decline in function, so it does not match the pattern described.
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Correct Answer is A
Explanation
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B. Using oral contraceptives can actually increase the risk of stroke, especially in women who smoke or have other risk factors.
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D. While moderate alcohol consumption may have some benefits, the general recommendation is to limit intake to reduce stroke risk; therefore, stating that up to 3 drinks a day is safe is misleading.