As part of the treatment for congestive heart failure, the child takes the diuretic furosemide. As part of teaching home care, the nurse encourages the family to give the child foods such as bananas, oranges, and leafy vegetables. These foods are recommended because they are high in what electrolyte?
Potassium.
Sodium.
Chlorides.
Zinc.
The Correct Answer is A
The correct answer is choice A. Potassium.
Choice A rationale:
Diuretics like furosemide are commonly used to treat congestive heart failure. They work by increasing the excretion of water and electrolytes, including potassium, from the body. Low levels of potassium (hypokalemia) can lead to various complications, including cardiac arrhythmias and muscle weakness. Since furosemide can cause potassium loss, it's important to ensure an adequate intake of potassium-rich foods. Bananas, oranges, and leafy vegetables are excellent sources of potassium. Therefore, the nurse encourages the family to include these foods in the child's diet to help maintain a healthy potassium balance.
Choice B rationale:
Sodium is an important electrolyte, but in the context of congestive heart failure and diuretic use, the focus is more on avoiding excessive sodium intake. Diuretics like furosemide aim to reduce fluid retention by increasing sodium excretion, so it's not necessary to recommend high-sodium foods. Moreover, excessive sodium intake could exacerbate fluid retention and worsen the heart failure.
Choice C rationale:
Chlorides are often found in table salt (sodium chloride) and are not typically emphasized in the context of heart failure treatment or diuretic use. While they play a role in maintaining electrolyte balance, they are not the primary focus in this scenario.
Choice D rationale:
Zinc is a mineral that is not directly related to the treatment of congestive heart failure or the use of diuretics. It is important for various cellular functions and immune system support, but it's not the electrolyte of concern in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C. They may lie to meet expectations set by others that they have been unable to attain.
Choice A rationale:
Lying resulting from the inability to distinguish between fact and fantasy is more characteristic of younger children and might not be as applicable to the 8 to 10-year-old age group.
Choice B rationale:
While cheating during games might be a behavior observed in children, it doesn't specifically address the characteristic of dishonesty outlined in the question for this age group.
Choice C rationale:
Children aged 8 to 10 years may lie to meet expectations set by others that they have been unable to attain. This is a manifestation of social pressure and the desire to avoid disappointing others or facing consequences for not meeting perceived expectations.
Choice D rationale:
Stealing due to a limited sense of property rights might apply more to younger children who are still developing their understanding of ownership and boundaries.
Correct Answer is A
Explanation
The correct answer is choice A: "Urethral opening along ventral surface of penis."
Choice A rationale:
The statement "Urethral opening along ventral surface of penis" is correct. Hypospadias is a congenital condition where the opening of the urethra is located on the underside of the penis rather than at the tip. This anomaly requires surgical correction.
Choice B rationale:
The statement "Urethral opening along dorsal surface of penis" is incorrect. This statement describes an anatomically incorrect condition. The opening of the urethra is not supposed to be along the dorsal surface of the penis.
Choice C rationale:
The statement "Absence of a urethral opening" is incorrect. This statement describes a more severe condition called "urethral agenesis" where the urethral opening is completely absent. Hypospadias is different and involves a misplaced urethral opening.
Choice D rationale:
The statement "Penis shorter than usual for age" is not related to hypospadias. Hypospadias primarily involves the location of the urethral opening and is unrelated to the length of the penis.
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