While admitting an 82-year-old with acute decompensated heart failure to the hospital, the nurse learns that the client lives alone and sometimes confuses the "water pill" with the "heart pill." When planning for the client's discharge the nurse will facilitate a
transfer to a long-term care facility.
arrangements for around-the-clock care.
consult with a psychologist.
referral to a home health care agency.
The Correct Answer is D
A. Transfer to a long-term care facility is not necessary unless the client is unable to live independently despite support.
B. Around-the-clock care is excessive for a client who can still live alone and just needs assistance with medication management.
C. A psychologist is not the appropriate referral unless there are clear signs of mental health issues.
D. Referral to a home health care agency is appropriate to support the client at home, provide medication education, monitor adherence, and reduce the risk of readmission due to medication errors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. Increased blood pressure occurs due to excess fluid volume increasing vascular pressure.
B. Hematocrit typically decreases in fluid overload due to dilution, not increases.
C. Increased respiratory rate is common due to pulmonary congestion or edema.
D. Increased heart rate occurs as the heart works harder to manage the excess fluid volume.
E. Increased temperature is not a typical finding in fluid overload.
Correct Answer is A
Explanation
A. This is the correct sequence of normal electrical conduction through the heart: the impulse originates in the sinoatrial (SA) node, travels to the atrioventricular (AV) node, then to the bundle of His, down the right and left bundle branches, and finally through the Purkinje fibers.
B. This choice places the Purkinje fibers before the bundle branches, which is incorrect.
C. The AV node does not initiate conduction; the SA node is the natural pacemaker of the heart.
D. This sequence incorrectly places the bundle branches before the bundle of His.
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