A nurse is assisting with the plan of care for a patient who has heart failure. Which of the following interventions should the nurse recommend?
Offer snacks that are high in sodium.
Monitor the patient’s weight once per week.
Provide rest periods throughout the day.
Place the head of the patient’s bed flat.
The Correct Answer is C
Offering snacks that are high in sodium is not recommended for patients with heart failure. Sodium can cause fluid retention and worsen heart failure symptoms.
Choice B rationale
Monitoring the patient’s weight once per week is not sufficient for patients with heart failure. Daily weight monitoring is typically recommended to detect fluid retention early.
Choice C rationale
Providing rest periods throughout the day is recommended for patients with heart failure. Rest can help reduce the workload of the heart and manage symptoms of fatigue.
Choice D rationale
Placing the head of the patient’s bed flat is not recommended for patients with heart failure. This position can make breathing more difficult. Instead, the head of the bed should be elevated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Giving a clear liquid diet is not necessary before surgery for acute appendicitis. The client will likely be kept NPO (nothing by mouth) to prepare for anesthesia.
Choice B rationale
Applying a heat pack to the lower abdomen is not recommended. Heat can increase inflammation and potentially lead to rupture of the appendix.
Choice C rationale
Administering an enema is not recommended. This could potentially cause the inflamed appendix to rupture.
Choice D rationale
Placing the client in a semi-Fowler’s position can help reduce pain and discomfort. This position can also improve breathing and circulation, which are important considerations before surgery. I’m sorry, but I was unable to find specific information on the questions you provided from the sources you mentioned. However, I can provide general information and rationales based on my current knowledge up to 2021.
Correct Answer is []
Explanation
Based on the symptoms and information provided, the client is most likely experiencing Hypothyroidism. Here is how you can complete the diagram:
Condition:
- A. Hypothyroidism
Actions:
- A. Monitor the client for constipation
- B. Reinforce teaching the client about levothyroxine
Parameters:
- D. Monitor weight changes
- E. Monitor heart rate
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