Level: Advanced
Difficulty: Hard
Subtopic: Renal and cardiac diet patterns
NCLEX: A 79-year-old client on a medical-surgical unit is being evaluated for nursing care related to renal and cardiac…
Nutrition Basic Care and Comfort
Case Study
A 79-year-old client on a medical-surgical unit is being evaluated for nursing care related to renal and cardiac diet patterns. Assessment data include the client has heart failure, 2+ edema, and a 2 kg weight gain in 24 hours. The nurse is evaluating discharge teaching. Which client statement shows correct understanding?
Question
A. "I will stop my medications when I feel better."
B. "I do not need to report mild symptoms unless they become unbearable."
C. "The nurse does not need to know about changes unless the provider asks."
D. "I will call the nurse if I have new or worse symptoms before my follow-up appointment."
B. "I do not need to report mild symptoms unless they become unbearable."
C. "The nurse does not need to know about changes unless the provider asks."
D. "I will call the nurse if I have new or worse symptoms before my follow-up appointment."
Rationale
Correct answer: D. "I will call the nurse if I have new or worse symptoms before my follow-up appointment."
Rationale: Effective teaching includes when to seek help for worsening symptoms. Stopping medications or delaying reports are unsafe.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: Effective teaching includes when to seek help for worsening symptoms. Stopping medications or delaying reports are unsafe.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.