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

Ambulate the client every 4 hr while awake.

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

Provide the client with a 4 g sodium diet.

Administer enalapril 2.5 mg PO twice daily.

Answer and Explanation

The Correct Answer is D

A.   Although activity is encouraged, clients with acute heart failure may require rest to minimize cardiac demand.
B.   Clients with acute heart failure typically need fluid restrictions, not boluses, which could exacerbate heart failure symptoms.
C.   A low-sodium diet is usually recommended for heart failure clients to help manage fluid retention, not a high-sodium diet.
D.   Enalapril is an ACE inhibitor often prescribed for clients with heart failure as it helps reduce blood pressure and decrease the workload on the heart.

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Correct Answer is D

Explanation

A: Sedation is not typically required for PICC line insertion; local anesthesia is usually sufficient.
B: An MRI is not the standard method to verify PICC line placement; an x-ray is typically used.
C: Using gauze to secure an arm board can restrict circulation and is not recommended for securing a PICC line.
D: Measuring the arm circumference daily is important to monitor for complications such as swelling or phlebitis at the insertion site.

A. "Use a cane when walking to maintain your balance." B. "Engage in a rigorous exercise program to maintain muscle tone." C. "Plan to take a hot bath once a week to reduce stress." D. "Place a scatter rug in your bathroom to prevent failing."

Correct Answer is A

Explanation

A. Encouraging the use of assistive devices like canes can help improve stability and prevent falls in individuals with multiple sclerosis who may experience balance issues. This statement promotes safety and independence in mobility.
B. While exercise is beneficial for individuals with multiple sclerosis, recommending a rigorous program may not be appropriate initially and could potentially exacerbate symptoms.
C. Hot baths can exacerbate symptoms in individuals with multiple sclerosis due to heat sensitivity, so this advice may not be suitable.
D. Scatter rugs can pose a tripping hazard, especially for individuals with mobility issues, so this statement is incorrect and may increase the risk of falls.

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

Nursing Test Bank

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