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.
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Related Questions
Correct Answer is B
Explanation
A. Increasing caloric intake before pregnancy without specific guidance can lead to unnecessary weight gain. It's essential for individuals to maintain a healthy weight before pregnancy, but there's no need to deliberately increase caloric intake.
B. Increasing folic acid intake to 400 micrograms per day prior to pregnancy is recommended to help prevent neural tube defects in the developing fetus. This is a crucial dietary guideline for women who are planning to become pregnant.
C. While seafood can be a source of important nutrients such as omega-3 fatty acids, consuming excessive amounts may expose the client to potential contaminants such as mercury. It's recommended to consume seafood in moderation and choose low-mercury options.
D. Ascorbic acid, or vitamin C, is important for overall health and is not typically restricted in the diet unless medically necessary. There's no need to decrease ascorbic acid intake in preparation for pregnancy.
Correct Answer is D
Explanation
A. Iron deficiency can lead to impaired immune function and may increase the risk of infections, but it is not typically characterized by an increased risk of infection.
B. Iron deficiency can cause fatigue and weakness, which may result in increased sleeping time rather than decreased sleeping time.
C. Iron deficiency does not typically cause an elevated temperature. Elevated temperature may be a sign of infection or other underlying medical conditions.
D. Lowered intellectual performance, including impaired cognitive function and difficulties with learning and memory, can occur as a result of iron deficiency anemia. Iron is essential for the proper functioning of the brain and nervous system, and inadequate iron intake can lead to cognitive deficits, especially in children.
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