Nonpharmacological treatment of heart failure includes:
High protein diet
Limit salt intake
50 pound weight loss
Decrease Water intake
The Correct Answer is B
A) High protein diet:
A high-protein diet is generally not a recommended nonpharmacological treatment for heart failure. While adequate protein intake is important for overall health, heart failure management typically focuses more on regulating sodium, fluid, and caloric intake. In some cases, a high-protein diet could place additional strain on the kidneys or exacerbate other conditions that may complicate heart failure.
B) Limit salt intake:
Limiting salt (sodium) intake is a crucial nonpharmacological strategy in managing heart failure. Excessive sodium can cause the body to retain water, leading to fluid overload, which can worsen heart failure symptoms such as edema, shortness of breath, and elevated blood pressure. Reducing sodium intake helps prevent these complications and aids in controlling symptoms.
C) 50 pound weight loss:
While weight loss may be beneficial for some individuals, especially those who are obese, a sudden or extreme weight loss of 50 pounds is not typically advised for someone with heart failure unless supervised by a healthcare provider. Rapid weight loss can lead to dehydration or electrolyte imbalances, which may exacerbate heart failure symptoms.
D) Decrease Water intake:
While fluid restriction may be necessary for some individuals, especially those with severe fluid retention or in advanced stages of heart failure, it is not a blanket recommendation. The approach to fluid intake should be based on the individual’s condition, including factors such as kidney function and the presence of edema.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Given:
Ordered dose of Vancomycin: 500 mg
Infusion rate: 5 mg/kg/hr
Patient weight: 98 lbs
Concentration of Vancomycin: 500 mg/100 mL
Step 1: Convert patient weight from pounds to kilograms:
1 pound (lb) = 0.453592 kilograms (kg)
Patient weight in kg = 98 lbs x 0.453592 kg/lb = 44.462256 kg
Step 2: Calculate the total dose of Vancomycin in mg/hr:
Total dose (mg/hr) = Ordered dose (mg/kg/hr) x Patient weight (kg)
Total dose (mg/hr) = 5 mg/kg/hr x 44.462256 kg
Total dose (mg/hr) = 222.31128 mg/hr
Step 3: Calculate the infusion rate in mL/hr:
Infusion rate (mL/hr) = Total dose (mg/hr) / Concentration (mg/mL)
Infusion rate (mL/hr) = 222.31128 mg/hr / (500 mg/100 mL)
Infusion rate (mL/hr) = 222.31128 mg/hr x (100 mL/500 mg)
Infusion rate (mL/hr) = 44.462256 mL/hr
Step 4: Round to the nearest tenth:
Infusion rate (mL/hr) ≈ 44.5 mL/hr
Correct Answer is C
Explanation
A) Check the weight of the patient:
While weight monitoring is important in managing heart failure and tracking fluid retention, it is not the most critical action before administering digoxin. Digoxin primarily affects heart rate and rhythm, so the priority assessment is related to the cardiovascular system.
B) Check the skin for bruising:
Checking for bruising is not a necessary step before administering digoxin. Bruising could be an indication of an underlying bleeding disorder or anticoagulant therapy, but it is not directly related to the administration of digoxin. The primary concern with digoxin is its effect on the heart, particularly heart rate and rhythm.
C) Check the apical pulse:
It is crucial to check the apical pulse before administering digoxin, as one of the major effects of the drug is to slow the heart rate (negative chronotropy). If the heart rate is below 60 beats per minute (bpm), the nurse should hold the medication and consult the healthcare provider, as digoxin can further decrease the heart rate and lead to bradycardia or other complications.
D) Check the temperature of the patient:
Although monitoring vital signs, including temperature, is important in overall patient care, temperature does not specifically impact the administration of digoxin. A normal or abnormal temperature would not typically influence the decision to give digoxin unless the patient had a fever due to an underlying infection that could complicate the clinical picture. The priority is assessing the pulse to ensure safe administration of the medication.
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