A nurse is caring for a client who has heart failure and has gained 0.9 kg (2 lb) over the last 24 hr. Which of the following interventions should the nurse take?
Provide the client with three large meals per day.
Weigh the client once per week.
Reduce the client's sodium intake.
Restrict the client's protein intake.
The Correct Answer is C
A. Providing the client with three large meals per day may contribute to fluid retention and exacerbate heart failure symptoms. Smaller, more frequent meals may be better tolerated.
B. Weighing the client once per week is not appropriate when there are signs of fluid retention and weight gain in a client with heart failure. More frequent monitoring of weight is necessary in this situation.
C. Reducing the client's sodium intake can help decrease fluid retention and manage symptoms of heart failure. Excess sodium intake can lead to fluid retention and exacerbate heart failure symptoms.
D. Restricting the client's protein intake is not indicated based solely on weight gain in heart failure. Protein restriction may lead to muscle wasting and compromise overall nutritional status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Olive oil and vinegar are healthier choices for salad dressing, especially for individuals with hypertension, as they are low in saturated fat and sodium.
B. This choice is incorrect because low-calorie does not necessarily mean low in sodium, which is crucial for managing hypertension.
C. Limiting processed cheese is advised because it often contains high levels of sodium, which can raise blood pressure.
D. This choice is incorrect as many frozen dinners are high in sodium and preservatives, which are not recommended for a hypertension-friendly diet.
E. Cooking pasta without salt is a good practice to reduce sodium intake, which is beneficial for blood pressure control.
Correct Answer is C
Explanation
A. Legumes are plant-based sources of protein, but they are not considered complete proteins as they do not contain all essential amino acids in sufficient quantities.
B. Almonds are also a plant-based source of protein, but like legumes, they are not considered complete proteins.
C. Salmon is a complete protein because it contains all essential amino acids in sufficient quantities.
D. Gelatin is derived from collagen and is not a complete protein because it lacks certain essential amino acids.
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