A nurse is caring for a client who has heart failure and has gained 2 kg (4.4 lB. over the last 24 hours. Which of the following interventions should the nurse take?
Reduce the client's sodium intake.
Restrict the client's protein intake.
Weigh the client once per week.
Provide the client with three large meals per day.
The Correct Answer is A
Choice A reason: Reducing the client's sodium intake is an appropriate intervention for the nurse to take because it can help prevent fluid retention and edema, which are complications of heart failure. Sodium intake should be limited to 2 g per day or less for clients who have heart failure.
Choice B reason: Restricting the client's protein intake is not an appropriate intervention for the nurse to take because it can cause malnutrition and muscle wasting, which can worsen heart failure. Protein intake should be adequate to meet the client's nutritional needs and support cardiac function. Protein intake should be about 0.8 to 1.2 g per kg of body weight per day for clients who have heart failure.
Choice C reason: Weighing the client once per week is not an appropriate intervention for the nurse to take because it can delay the detection and treatment of fluid overload, which can worsen heart failure. The client should be weighed daily at the same time and with the same scale and clothing to monitor fluid status and adjust medication dosage.
Choice D reason: Providing the client with three large meals per day is not an appropriate intervention for the nurse to take because it can increase the workload of the heart and cause dyspnea, fatigue, or chest pain, which are symptoms of heart failure. The client should be provided with small, frequent meals that are low in sodium, fat, and cholesterol to reduce cardiac stress and promote digestion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Skim milk is not an appropriate snack choice for a 9-month-old infant. Infants under 12 months of age should not consume cow's milk, as it can cause iron deficiency, gastrointestinal bleeding, and allergic reactions. Infants should be breastfed or formula-fed until they are 12 months old.
Choice B reason: Unsalted popcorn is not an appropriate snack choice for a 9-month-old infant. Popcorn is a choking hazard for infants, as it can easily get stuck in their throat or lungs. Infants should not be given any hard, round, or sticky foods that can cause choking.
Choice C reason: Raw carrots are not an appropriate snack choice for a 9-month-old infant. Raw carrots are also a choking hazard for infants, as they are hard and difficult to chew and swallow. Infants should be given soft, cooked, or pureed vegetables that can be easily mashed with their gums.
Choice D reason: Graham crackers are an appropriate snack choice for a 9-month-old infant. Graham crackers are soft, easy to chew and swallow, and provide carbohydrates and energy. They can also help infants practice their self-feeding skills and finger coordination.
Correct Answer is C
Explanation
Choice A reason: Including a high-fat food with each meal is not a good strategy for managing chronic nausea during pregnancy because it can delay gastric emptying and worsen nausea and vomiting. High-fat foods should be avoided or consumed in moderation during pregnancy.
Choice B reason: Drinking 12 ounces of water with breakfast is not a good strategy for managing chronic nausea during pregnancy because it can dilute stomach acid and trigger nausea and vomiting. Water should be consumed between meals rather than with meals during pregnancy.
Choice C reason: Eating a high-carbohydrate diet is a good strategy for managing chronic nausea during pregnancy because it can provide quick energy and prevent hypoglycemia, which can cause nausea and vomiting. Carbohydrate-rich foods, such as crackers, toast, rice, and cereal, can also absorb stomach acid and reduce nausea and vomiting.
Choice D reason: Lying down for an hour after eating is not a good strategy for managing chronic nausea during pregnancy because it can cause acid reflux and worsen nausea and vomiting. It is better to sit upright or walk for a few minutes after eating during pregnancy.
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