The nurse is teaching a client about lifestyle modifications after a heart failure diagnosis. What will be included in the teaching?

Weigh yourself once a week.

Drink 3 liters of fluid per day.

Engage in exercise daily.

Restrict dietary potassium.

Answer and Explanation

The Correct Answer is C

A. Weigh yourself once a week:

This is an important part of heart failure management as weight gain can indicate fluid retention, a common symptom of heart failure. The nurse should instruct the client to weigh themselves at the same time of day, using the same scale, and wearing similar clothing each time. Any sudden weight gain should be reported to the healthcare provider promptly.

B. Drink 3 liters of fluid per day:

This option is not appropriate for most heart failure patients, especially those with fluid retention issues. Fluid intake should be monitored and restricted based on the individual's condition and healthcare provider's recommendations. Consuming too much fluid can exacerbate fluid retention and worsen heart failure symptoms.

C. Engage in exercise daily:

Exercise is generally recommended for heart failure patients, but the type, intensity, and frequency of exercise should be tailored to the individual's condition. The nurse should encourage the client to engage in regular physical activity as tolerated, following a structured exercise plan approved by their healthcare provider. Activities like walking, cycling, or water aerobics can be beneficial for heart health.

D. Restrict dietary potassium:

This option is not typically included in lifestyle modifications for heart failure unless the client has specific potassium-related issues or is taking medications that require potassium restriction. Potassium is an important electrolyte for heart function, and most heart failure patients are advised to consume a balanced diet with moderate potassium intake, unless otherwise directed by their healthcare provider.

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Correct Answer is D

Explanation

A. Take the iron with dairy products to enhance absorption: This statement is incorrect. Calcium-rich foods, such as dairy products, can inhibit iron absorption. It's recommended to take iron supplements with vitamin C-rich foods or beverages to enhance iron absorption.

B. Limit foods high in fiber due to the risk for diarrhea: While some individuals may experience gastrointestinal side effects such as constipation or diarrhea when taking iron supplements, it is not generally recommended to limit foods high in fiber. Adequate fiber intake is important for overall digestive health.

C. Increase the intake of vitamin E to enhance absorption: Vitamin E does not directly enhance iron absorption. Vitamin C is the nutrient that enhances iron absorption, so increasing intake of vitamin C-rich foods or taking vitamin C supplements along with iron supplements can improve iron absorption.

D. Iron will cause the stools to darken in color: This statement is correct. Iron supplements can cause stools to become dark or even black in color. This is a harmless side effect known as "iron stools" and is caused by the reaction of iron with substances in the digestive tract.

A. Furosemide 10mg IV bolus every 12 hours. B. Morphine sulfate 2 mg IV bolus every 2 hr PRN pain C. Laboratory testing of serum potassium upon admission D. 0.9% normal saline IV at 150 mL/hr continuous

Correct Answer is D

Explanation

A. Furosemide 10mg IV bolus every 12 hours:

Furosemide is a loop diuretic commonly used in heart failure management to reduce fluid overload. The prescribed dose of 10 mg IV bolus every 12 hours is within the typical range for furosemide administration in acute heart failure.

B. Morphine sulfate 2 mg IV bolus every 2 hr PRN pain:

Morphine sulfate is often used in the management of acute pain, including pain associated with myocardial infarction. The prescribed dose of 2 mg IV bolus every 2 hours PRN for pain is appropriate and aligns with standard pain management protocols.

C. Laboratory testing of serum potassium upon admission:

It is common practice to perform laboratory testing, including serum potassium levels, upon admission for clients with acute heart failure, especially if they are receiving diuretics or other medications that can affect electrolyte balance. This prescription is appropriate and necessary for monitoring the client's condition.

D. 0.9% normal saline IV at 150 mL/hr continuous:

This prescription raises a concern because administering 0.9% normal saline at a rate of 150 mL/hr continuously may lead to fluid overload in a client with acute heart failure. The rate of IV fluid administration should be carefully assessed based on the client's fluid status, renal function, and hemodynamic parameters to avoid exacerbating heart failure symptoms.

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The nurse is teaching a client about lifestyle modifications after a heart failure diagnosis. What will be included in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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