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Exam NCLEX-RN topic 5 question 89 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 89
Topic #: 5
[All NCLEX-RN Questions]

A male client has heart failure. He has been instructed to gradually increase his activities. Which signs and symptoms of worsening heart failure should the nurse tell him to watch for that would indicate a need for him to lower his activity level?

  • A. Pain in his legs when he walks
  • B. Thirst, weight loss, and polyuria
  • C. Drowsiness and lethargy after his activities
  • D. Weight gain, edema in his lower extremities, and shortness of breath
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Suggested Answer: D 🗳️
(A) Pain in the legs could be indicative of doing too much too quickly, but not of worsening heart failure. The client should be cautioned to increase his activities slowly. (B) Thirst, weight loss, and frequent urination are not indicative of heart failure. The client should report these symptoms to his physician. (C) Drowsiness and lethargy are not indicative of worsening heart failure. The client should report these symptoms to his physician. (D) All of these symptoms indicate a worsening cardiac condition possibly associated with too much activity. The clients activity level should be evaluated.

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