A patient with heart failure is prescribed bedrest but becomes angry and walks to the bathroom independently to use the toilet. How should the nurse handle this situation?
Call for help while holding the patient in bed.
Walk the patient to the bathroom.
Obtain a bedside commode.
Obtain a bedpan for the patient to use.
The Correct Answer is C
Choice A reason: Physically restraining the patient is not appropriate unless the patient is at immediate risk of harm to themselves or others.
Choice B reason: Walking the patient to the bathroom may not be safe if the patient has been prescribed bedrest due to heart failure.
Choice C reason: Obtaining a bedside commode respects the patient's autonomy and dignity while adhering to the prescribed bedrest.
Choice D reason: While obtaining a bedpan is an option, a bedside commode may be more comfortable and dignified for the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: An exercise stress test can help diagnose coronary artery disease by measuring the heart's ability to respond to external stress in a controlled clinical environment.
Choice B reason: Troponin I is a blood test that measures the levels of troponin T or troponin I proteins in the blood. These proteins are released when the heart muscle has been damaged, such as in a heart attack, which is a common complication of coronary artery disease.
Choice C reason: Cardiac computed tomography (CT) for calcium scoring is a non-invasive way of obtaining information about the presence, location, and extent of calcified plaque in the coronary arteries.
Choice D reason: Radioisotope imaging, such as a nuclear stress test, can show how blood moves to the heart muscle at rest and during stress, helping to diagnose coronary artery disease.
Choice E reason: Angiography involves using X-rays to see your body's blood vessels. Coronary angiography is specifically used to see if your coronary arteries are blocked or narrowed, where they supply blood to your heart.
Correct Answer is A
Explanation
Choice A reason: A rapid weight gain is a common sign of fluid retention, which can indicate an exacerbation of heart failure.
Choice B reason: Being able to breathe easier would typically indicate an improvement in heart failure symptoms, not an exacerbation.
Choice C reason: Cooking dinner suggests a level of activity that is not indicative of an exacerbation of heart failure.
Choice D reason: The absence of swelling in the feet would generally be a positive sign, not indicative of an exacerbation of heart failure.
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