Difficulty: Medium
Average Score: 82%
Simulated
A nurse is providing discharge teaching about safety considerations to an older adult client who lives at home. The client has heart failure and a new prescription for hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?
Correct answer
B
Rationale
The correct answer is B: "I will leave a light on in my bathroom at night." This statement indicates an understanding of the teaching because older adults with heart failure who take hydrochlorothiazide are at risk for nocturia (nighttime urination) due to the medication's diuretic effect. Leaving a light on in the bathroom at night can prevent falls and accidents during nighttime bathroom visits.
Choice A: "I will take a hot bath before going to bed." - Incorrect, as hot baths before bed can potentially worsen heart failure symptoms by increasing heart rate and blood pressure.
Choice C: "I will weigh myself once weekly." - Incorrect, as monitoring weight daily is crucial for individuals with heart failure and taking diuretics to manage fluid retention.
Choice D: "I will take my new medication in the evening." - Partially correct, but the priority in this scenario is safety considerations, not medication timing.
Choice A: "I will take a hot bath before going to bed." - Incorrect, as hot baths before bed can potentially worsen heart failure symptoms by increasing heart rate and blood pressure.
Choice C: "I will weigh myself once weekly." - Incorrect, as monitoring weight daily is crucial for individuals with heart failure and taking diuretics to manage fluid retention.
Choice D: "I will take my new medication in the evening." - Partially correct, but the priority in this scenario is safety considerations, not medication timing.