Which statement by a patient with chronic heart failure indicates to the nurse that more teaching is needed?
A) "The disease will be marked by periods of exacerbations."
B) "I will need to make lifestyle modifications to control the disease."
C) "If I follow strict self-care, I can cure the disease."
D) "Any type of stress can cause a worsening of the disease."
C) "If I follow strict self-care, I can cure the disease."
Explanation: A) Patients with chronic heart failure may develop acute heart failure, also called acute decompensated heart failure (ADHF) manifested by worsening of heart failure symptoms to a level such that hospitalization is required.
B) In a patient with stable chronic heart failure, dietary indiscretion, medication nonadherence, or poor decision making (failure to act on symptoms, for example), high blood pressure, myocardial ischemia, alcohol intake, or various endocrine disorders may also precipitate ADHF.
C) Even with strict adherence to the medical regimen and lifestyle modifications, heart failure progresses, with 50% of individuals succumbing to this disease within 5 years of diagnosis.
D) In a patient with stable chronic heart failure, any stress, such as infection, could result in decompensation.
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