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 C
Explanation
A. A QRS interval of 0.08 second is within the normal range and does not indicate a myocardial infarction.
B. A PR interval of 0.15 second is normal and not indicative of an acute myocardial infarction.
C. ST-segment elevation above the isoelectric line is a key indicator of an acute myocardial infarction (STEMI), signifying myocardial injury.
D. The QT interval being equal to the R to R interval is not a specific indicator of myocardial infarction.
Correct Answer is C
Explanation
A. A nonskid mat might be helpful for plate stability, but it does not address the visual deficit related to homonymous hemianopsia.
B. Wide grip utensils are useful for motor difficulties, but the primary issue here is a visual field deficit, not motor impairment.
C. Homonymous hemianopsia results in loss of vision in the same half of the visual field in both eyes. Encouraging the client to turn her head or look for food on the affected side (left side of the tray) can help compensate for the visual loss.
D. While using the right hand may be important after a right-sided stroke, the more pressing issue here is addressing the visual field deficit, not hand preference.