Fundamental Concepts and Skills for Nursing Test Bank

Correct Answer: D

Rationale: Wheezing breath sounds in all lobes indicate airway obstruction or narrowing, which may be a sign of worsening heart failure leading to pulmonary congestion. Wheezing can be a result of fluid accumulation in the lungs (pulmonary edema) due to inadequate pumping of the heart in CHF. Monitoring for respiratory symptoms such as wheezing is crucial in assessing the effectiveness of treatment for congestive heart failure. In this case, the presence of wheezing suggests that the client's condition is not improving and requires further evaluation and intervention.

Correct Answer: A

Rationale: A beta blocker would likely be prescribed for an older adult client diagnosed with cardiomyopathy and a cardiac dysrhythmia. Beta blockers are commonly used to manage dysrhythmias by slowing down the heart rate, reducing the workload of the heart, and improving its efficiency. They can also help in preventing arrhythmias and improving overall cardiac function in individuals with cardiomyopathy. Additionally, beta blockers have been shown to reduce mortality and improve symptoms in patients with various cardiac conditions. Therefore, it is a suitable medication choice for this client's condition.

Correct Answer: A

Rationale: A. Dementia causes impaired short- and long-term memory: Impaired memory is a common symptom of dementia, affecting both short-term and long-term memory. Patients may struggle to remember recent events or past memories, which can significantly impact their daily functioning.

Correct Answer: C

Rationale: Based on the blood pressure categories defined by the American Heart Association, hypertension is classified as having a systolic blood pressure (top number) of 130 mm Hg or higher and/or a diastolic blood pressure (bottom number) of 80 mm Hg or higher. The client's blood pressure reading of 150/90 mm Hg falls within the range of hypertension, indicating elevated blood pressure levels that may require monitoring and/or intervention to reduce the risk of cardiovascular complications.

Correct Answer: C

Rationale: The statement "If I take my medications as prescribed, I'll feel better" best illustrates compliance with the medication plan. This statement shows an understanding of the importance of following the prescribed medication regimen and the potential positive outcomes of adherence to the plan. It demonstrates the client's willingness to adhere to the instructions given by the nurse, which is essential for successful medication management and treatment outcomes.