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 B

Explanation

A. While maintaining eye contact during feedings can foster bonding and comfort, it is not specifically beneficial for managing symptoms of neonatal abstinence syndrome (NAS).
B. Minimizing noise in the newborn's environment is crucial for a baby with NAS. These infants often have increased sensitivity to stimulation and can become easily agitated. A quiet, calming environment can help soothe them.
C. Administering naloxone to a newborn with NAS is not recommended. Naloxone is an opioid antagonist and, while it can reverse opioid effects acutely, it is not a treatment for the withdrawal symptoms associated with NAS.
D. Swaddling the newborn is beneficial, but the legs should not be extended.

Swaddling should allow for some movement of the legs and hips to prevent the development of hip dysplasia. Swaddling in a way that allows the legs to bend and move is generally recommended.

A. Provocative behavior B. Lack of empathy C. Goal-oriented D. Lability

Correct Answer is C

Explanation

A. This is not characteristic of OCPD; such behavior is more associated with personality disorders that involve issues with impulse control and attention-seeking, such as histrionic personality disorder.
B. While people with OCPD might appear rigid or stubborn, a lack of empathy is more characteristic of antisocial or narcissistic personality disorders.
C. Individuals with obsessive-compulsive personality disorder (OCPD) are often highly focused on orderliness, perfectionism, and control, making them very goal- oriented and preoccupied with productivity.
D. Emotional lability is not a feature of OCPD; it is more often associated with borderline personality disorder, which includes rapid and intense emotional swings.

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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

Naxlex Comprehensive Predictor Exams

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