A nurse is admitting a client who has acute heart failure. Which of the following prescriptions from the provider should the nurse anticipate?

Provide the client with a 4g sodium diet.

Ambulate the client every 4 hr while awake.

Infuse 0.9% sodium chloride 500 mL IV bolus over 1 hr.

Administer enalapril 2.5 mg PO twice daily.

Answer and Explanation

The Correct Answer is D

A) Provide the client with a 4g sodium diet: This is incorrect. Clients with acute heart failure typically require a low-sodium diet (often less than 2g per day) to help manage fluid retention and reduce workload on the heart.

B) Ambulate the client every 4 hr while awake: While mobility is important, the frequency and timing of ambulation in clients with acute heart failure should be carefully considered based on their stability and fatigue level. It may not be appropriate to ambulate every 4 hours.

C) Infuse 0.9% sodium chloride 500 mL IV bolus over 1 hr: This is generally not appropriate for clients with acute heart failure due to the risk of fluid overload. Instead, fluid management often involves restricting IV fluids and closely monitoring fluid balance.

D) Administer enalapril 2.5 mg PO twice daily: This prescription is appropriate. Enalapril, an ACE inhibitor, is commonly used to manage heart failure by reducing afterload and improving cardiac output. It helps alleviate symptoms and improve quality of life in heart failure patients.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A) Urinary frequency: This is a common and expected symptom during pregnancy, particularly in the first and third trimesters, due to hormonal changes and the growing uterus pressing on the bladder. It does not typically require reporting unless it is accompanied by pain or other concerning symptoms.

B) Faintness upon rising: While some women may experience dizziness or faintness due to hormonal changes or blood pressure fluctuations, it is not universally alarming unless it is frequent or severe. However, it’s important for the client to monitor this and report if it becomes problematic.

C) Swelling of the face: This is a concerning symptom that should be reported to the provider. Facial swelling can indicate possible preeclampsia, particularly when accompanied by high blood pressure or protein in the urine, and should be assessed promptly.

D) Bleeding gums: While some women may experience bleeding gums during pregnancy due to hormonal changes affecting the gums, it is generally not a significant concern unless it is severe or persistent. Regular dental care is advised, but it typically does not require immediate reporting to a healthcare provider.

A. Occupational therapist B. Physical therapist C. Speech-language pathologist D. Dietitian

Correct Answer is C

Explanation

A) An occupational therapist focuses on helping clients regain independence in daily activities and may assist with adaptive techniques for self-care. However, for a client with dysphagia, their primary need is related to swallowing, not daily tasks.

B) A physical therapist specializes in mobility and physical function. While they play an important role in overall physical health, they are not the primary resource for addressing dysphagia, which involves the swallowing process.

C) Consulting a speech-language pathologist is the priority. This professional specializes in communication and swallowing disorders. They can assess the severity of the dysphagia and recommend safe swallowing techniques or interventions to reduce the risk of aspiration, making them essential in the management of a client with amyotrophic lateral sclerosis.

D) A dietitian can provide guidance on nutrition and diet modifications to accommodate dysphagia. While important, the immediate priority is to address the swallowing difficulties through evaluation and intervention by a speech-language pathologist.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is admitting a client who has acute heart failure. Which of the following prescriptions from the provider should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is updating the plan of care for a client who has amyotrophic lateral sclerosis with dysphagia. Which of the following interprofessional team members should the nurse identify as the priority to consult?

Correct Answer is C

Explanation

A nurse is caring for a client who is experiencing increased intracranial pressure following a head injury. In which of the following positions should the nurse place the client?

A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching?

A nurse is assessing the peripheral catheter insertion site of a client who is receiving an infusion. The nurse notices redness and warmth to the touch around the insertion site. The nurse should document the finding as which of the following complications?

A nurse is caring for a client who has vision loss. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect?

A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse manager include?

A nurse is providing discharge teaching to a client who has chronic kidney disease and is receiving hemodialysis. Which of the following instructions should the nurse include in the teaching?

A nurse in a long-term care facility is admitting a client who has dementia. Which of the following actions should the nurse take to reduce the risk for client injury?