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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: While aspirin does have anti-inflammatory properties, the primary reason for prescribing it post-myocardial infarction is not to reduce inflammation.

Choice B reason: Aspirin can provide pain relief, but this is not the main purpose of its prescription following a myocardial infarction.

Choice C reason: Fever prevention is not a relevant effect in the context of aspirin use for coronary artery disease.

Choice D reason: Aspirin is prescribed to prevent blood clotting. It inhibits platelet aggregation, which is crucial in reducing the risk of further heart attacks by preventing clots that can occlude coronary arteries.

A. Your heart stops. B. Your heart is pumping too much blood. C. Your heart has an area of muscle that has died. D. Your heart is not an efficient pump.

Correct Answer is D

Explanation

Choice A reason: The statement "Your heart stops" is incorrect; heart failure does not mean the heart has stopped functioning.

Choice B reason: "Your heart is pumping too much blood" is not accurate; heart failure often means the heart cannot pump enough blood to meet the body's needs.

Choice C reason: While an area of heart muscle may die during a heart attack, this is not the defining characteristic of heart failure.

Choice D reason: The most accurate description of heart failure is that the heart is not pumping efficiently, which can lead to symptoms like fatigue and shortness of breath.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?

Correct Answer is D

Explanation

A patient asks the nurse what a diagnosis of heart failure means. Which of the following is the nurse's best response?

Correct Answer is D

Explanation

The nurse is reinforcing teaching to the patient about the cause of pain from coronary artery disease. The nurse would evaluate the patient as understanding the education if the patient stated which of the following causes the pain from coronary artery disease?

The nurse is reinforcing teaching for a patient with chronic heart failure. Which of the following weight measurements should the nurse ask the patient to perform to monitor fluid status at home?

A newly admitted patient in an acute manic state has a nursing diagnosis of at risk for injury related to hyperactivity. Which nursing intervention is most appropriate?

A patient hospitalized with a myocardial infarction suddenly begins having severe respiratory distress with frothy red sputum. What is the first action for the nurse to take?

A patient who has been scheduled for an exercise stress electrocardiogram asks why this test is needed. Which of the following is the nurse's best response?

The nurse reinforces teaching to the patient on left heart failure (HF). The nurse would evaluate the patient as understanding if the patient stated which of these occurs to blood flow through the heart?

The nurse reviews the lab test results of a patient who has heart failure (HF). Which test result would be most important for the nurse to report to the healthcare provider (HCP)?

A nurse is caring for a client who has depression and states that she is too tired to get out of bed or dress. Which of the following statements by the nurse is appropriate?