The nurse is reinforcing teaching for a patient with chronic heart failure. Which of the following weight measurements should the nurse ask the patient to perform to monitor fluid status at home?
Weigh monthly.
Weigh daily.
Weigh twice a day.
Weigh weekly.
The Correct Answer is B
Choice A reason: Weighing monthly is not frequent enough to monitor fluid status effectively in a patient with chronic heart failure.
Choice B reason: Weighing daily is recommended to detect early signs of fluid retention, which is crucial for patients with chronic heart failure.
Choice C reason: Weighing twice a day is not typically necessary unless specifically recommended by a healthcare provider for close monitoring.
Choice D reason: Weighing weekly may miss early signs of fluid retention and is not recommended for daily monitoring of fluid status in chronic heart failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Weighing monthly is not frequent enough to monitor fluid status effectively in a patient with chronic heart failure.
Choice B reason: Weighing daily is recommended to detect early signs of fluid retention, which is crucial for patients with chronic heart failure.
Choice C reason: Weighing twice a day is not typically necessary unless specifically recommended by a healthcare provider for close monitoring.
Choice D reason: Weighing weekly may miss early signs of fluid retention and is not recommended for daily monitoring of fluid status in chronic heart failure.
Correct Answer is A
Explanation
Choice A Reason:Grandiosity refers to an exaggerated sense of one's importance, power, knowledge, or identity—even with little evidence to support this. In bipolar disorder, grandiosity can occur during both manic and hypomanic episodes. Individuals experiencing grandiosity may believe they have special powers, abilities, or are destined for greatness. This behavior aligns with the client's statement about revolutionizing the industry, which reflects an inflated sense of self-importance.
Choice B Reason:Flight of ideas is characterized by rapid, continuous, and often disjointed thoughts. It is a symptom commonly seen in manic episodes of bipolar disorder. However, the client's statement does not specifically indicate flight of ideas.
Choice C Reason:Confabulation refers to the production of fabricated or distorted memories or information. It is not directly related to the client's statement about revolutionizing the industry
Choice D Reason:Clang associations involve the use of rhyming or similar-sounding words without logical connections. While it is a symptom seen in some mental health conditions, it is not directly applicable to the client's behavior described in the question.
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