An essential aspect of teaching that may prevent recurrence of heart failure exacerbations is
notifying the provider if a 2-lb weight gain occurs in 24 hours.
taking nitroglycerin if chest pain occurs.
assessment of an apical pulse.
compliance with diuretic therapy.
The Correct Answer is A
A. Sudden weight gain can indicate fluid retention, a common early sign of heart failure exacerbation. Prompt reporting allows for early intervention.
B. Nitroglycerin is used to treat chest pain, not specifically to prevent heart failure exacerbations.
C. Assessment of the apical pulse is important, but monitoring weight is more directly related to managing heart failure.
D. Compliance with diuretic therapy is important, but recognizing early signs of fluid retention, such as rapid weight gain, is crucial for preventing exacerbations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Quickly removing the family members may add to their distress and does not respect their right to decide.
B. Telling them it will be stressful assumes their reaction without giving them a choice.
C. Allowing the family members to choose whether to stay respects their autonomy and can provide comfort during a difficult time. It is also in line with current best practices for family presence during resuscitation.
D. Assigning a staff member to wait outside is appropriate but should be done after offering the family the option to stay in the room.
Correct Answer is A
Explanation
A. Numbness and tingling in the left hand could indicate compromised blood flow or nerve damage, potentially due to the arterial line, requiring immediate assessment and intervention.
B. Slight bloody drainage is a common finding and typically does not require immediate action.
C. A dressing beginning to lift should be addressed to maintain a sterile environment but is not an emergency.
D. Slight redness at the insertion site may indicate mild irritation or early signs of infection, but it does not require immediate intervention compared to the potential vascular or nerve compromise suggested by numbness and tingling.
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