The nurse is caring for a male patient, age 54, who had a myocardial infarction 2 days ago. His wife, who is very talkative, has remained at his bedside. Which of these interventions should the nurse implement to reduce the workload of the heart? (Select all that apply.)
Administer daily stool softener.
Provide bedside commode.
Advocate for rest periods with no visitors.
Provide regular diet.
Ambulate four times a day.
Maintain bedrest.
Correct Answer : A,B,C,F
Choice A reason: Administering a daily stool softener can help prevent straining during bowel movements, which can increase cardiac workload.
Choice B reason: Providing a bedside commode reduces the effort required to go to the bathroom, thus reducing cardiac workload.
Choice C reason: Advocating for rest periods with no visitors can help reduce emotional stress and physical exertion, which can increase cardiac workload.
Choice D reason: A regular diet is not specifically an intervention to reduce cardiac workload and may not be appropriate immediately following a myocardial infarction.
Choice E reason: Ambulating four times a day is not recommended immediately following a myocardial infarction as it can increase cardiac workload.
Choice F reason: Maintaining bedrest can help reduce the workload on the heart by minimizing physical activity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Chicken fingers and fries are typically high in fat and may not provide balanced nutrition for an underweight patient.
Choice B reason: Grilled chicken and a baked potato offer a good balance of protein and carbohydrates, which can help in weight gain and provide sustained energy.
Choice C reason: Chili and crackers may not provide enough calories or balanced nutrition for someone who is underweight and needs to gain weight.
Choice D reason: Spaghetti and meatballs can be a good option for weight gain due to the high carbohydrate and protein content, but grilled chicken and a baked potato are healthier and more balanced choices.
Correct Answer is C
Explanation
Choice A reason: This response may come off as dismissive and does not address the patient's immediate concerns or feelings.
Choice B reason: While this response offers a solution, it does not engage with the patient's current emotional state or provide immediate support.
Choice C reason: This response is therapeutic as it acknowledges the patient's emotional state and invites them to discuss their concerns, which is important in managing patients with bipolar disorder.
Choice D reason: This response might minimize the patient's feelings and does not encourage communication about the patient's current distress.
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