The nurse is caring for a patient admitted to the hospital with chronic anemia. The patient reports persistent fatigue, weakness, and activity intolerance. Which intervention will the nurse implement for these manifestations?

Encourage the patient to rest in bed for most of the day.

Administer a high-protein diet including caffeinated beverages to increase energy levels.

Assist the patient with activities of daily living (ADLs) and encourage frequent rest periods.

Provide supplemental oxygen via face mask during vigorous exercises.

Answer and Explanation

The Correct Answer is C

Choice A reason: Encouraging the patient to rest in bed for most of the day may lead to further deconditioning and muscle weakness. While rest is important, balancing activity and rest is more beneficial for managing fatigue in chronic anemia.

Choice B reason: Administering a high-protein diet including caffeinated beverages to increase energy levels is not recommended. While a high-protein diet can support energy and muscle strength, caffeine may cause jitteriness and disrupt sleep, which can exacerbate fatigue.

Choice C reason: Assisting the patient with ADLs and encouraging frequent rest periods is appropriate for managing fatigue, weakness, and activity intolerance in chronic anemia. This approach helps the patient conserve energy while maintaining some level of activity to prevent deconditioning.

Choice D reason: Providing supplemental oxygen via face mask during vigorous exercises is not appropriate. Patients with chronic anemia should avoid vigorous exercises that could exacerbate fatigue and weakness. The focus should be on moderate, manageable activities with adequate rest.

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Correct Answer is C

Explanation

Choice A reason: Monitoring blood pressure weekly is important but does not directly help the patient accurately monitor their fluid balance. Daily weight monitoring provides more immediate feedback on fluid status changes.

Choice B reason: Limiting fluid intake to 3 liters per day may be appropriate for some patients but does not directly help the patient monitor their fluid balance. Accurate fluid monitoring involves tracking intake, output, and changes in body weight.

Choice C reason: Weighing yourself at the same time each day is crucial for accurately monitoring fluid balance. Daily weights provide consistent and immediate information about changes in fluid status, which is essential for managing hypervolemia in patients with chronic kidney disease.

Choice D reason: Increasing daily sodium intake is not appropriate for patients with hypervolemia, as it can lead to further fluid retention and worsen the condition. The focus should be on reducing sodium intake and monitoring fluid balance.

A. Increase vitamin D levels with regular sun exposure. B. Utilize an evidence-based smoking cessation program. C. Eliminate all gluten, dairy, and seed oils from the diet. D. Avoid receiving the influenza, COVID, and shingles vaccine.

Correct Answer is B

Explanation

Choice A reason: Increasing vitamin D levels with regular sun exposure may be beneficial for overall health but is not specifically targeted at preventing flares and complications of SLE. SLE patients are often advised to avoid excessive sun exposure as it can trigger flares and exacerbate symptoms.

Choice B reason: Utilizing an evidence-based smoking cessation program is important for SLE patients, as smoking can worsen the symptoms and complications associated with the disease. Smoking has been linked to increased disease activity, higher risk of cardiovascular complications, and reduced effectiveness of certain medications in SLE patients. Quitting smoking can improve overall health outcomes and reduce the risk of flares and complications.

Choice C reason: Eliminating all gluten, dairy, and seed oils from the diet is not universally recommended for SLE patients. While some patients may have specific dietary triggers or intolerances, there is no broad evidence suggesting that such eliminations are necessary for all SLE patients. A balanced, nutritious diet tailored to the individual's needs is more appropriate.

Choice D reason: Avoiding the influenza, COVID, and shingles vaccines is not recommended for SLE patients. In fact, vaccinations can help prevent infections that could trigger SLE flares or complications. It is important for SLE patients to discuss their vaccination schedule with their healthcare provider to ensure they are appropriately protected.

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The nurse is caring for a patient admitted to the hospital with chronic anemia. The patient reports persistent fatigue, weakness, and activity intolerance. Which intervention will the nurse implement for these manifestations?

Nursing Test Bank

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