A client is seen in the emergency department with a heart failure exacerbation due to noncompliance with medications and fluid restrictions. Which key diagnostic result should the nurse assess to determine the severity of the client's heart failure exacerbation?
Blood urea nitrogen (BUN)
Troponin
B-type natriuretic peptide (BNP)
Electrocardiogram
The Correct Answer is C
A. Elevated BUN can indicate kidney dysfunction but is not specific for assessing heart failure severity.
B. Elevated troponin levels indicate myocardial injury or infarction, not heart failure exacerbation.
C. B-type natriuretic peptide (BNP) levels are directly correlated with the severity of heart failure, as they are released in response to ventricular volume expansion and pressure overload.
D. An electrocardiogram (ECG) can show arrhythmias or ischemia but does not directly measure heart failure severity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Taking furosemide in the morning helps prevent nocturia and ensures better management of fluid balance during the day.
B. Gaining 3 pounds in 2 days likely indicates fluid retention rather than an issue with calorie intake. The client should contact their healthcare provider as it may indicate worsening heart failure.
C. Avoiding extreme temperatures is important as they can place additional stress on the cardiovascular system.
D. Limiting salt intake to 2 grams or less per day and reading nutrition labels is appropriate for managing heart failure.
Correct Answer is A
Explanation
A. This statement indicates a lack of understanding about hidden sodium in restaurant foods. Many restaurant dishes contain high levels of sodium, even if additional salt is not added at the table. The client needs to be educated about choosing low-sodium options when dining out and asking about the sodium content of meals.
B. This statement reflects correct understanding, as fresh vegetables typically contain less sodium than canned vegetables, which often have added salt.
C. This statement shows proper knowledge, as reading nutrition labels helps identify foods with high sodium content, allowing for better dietary choices.
D. This statement is appropriate, as using lemon juice and herbs is a good alternative to adding salt for flavoring food.
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