A client has been diagnosed with heart failure. One of the main overall objectives of the management of heart failure is which of the following?

Achieve a blood pressure of 120/80

Reduce the workload on the heart

Help the client walk briskly on a treadmill at 4 to 5 miles an hour

Eliminate all sodium and fat from the diet

Answer and Explanation

The Correct Answer is B

Choice A reason : Achieving a blood pressure of 120/80 is a general goal for overall cardiovascular health, but it is not specific to the management of heart failure. While controlling blood pressure is important in heart failure, the primary objective is to reduce the heart's workload¹.

Choice B reason : Reducing the workload on the heart is a key objective in managing heart failure. This can be achieved through medications that improve heart function, lifestyle changes, and sometimes surgical interventions. The goal is to improve the heart's efficiency and reduce symptoms such as shortness of breath and fatigue¹.

Choice C reason : Encouraging the client to walk briskly on a treadmill at 4 to 5 miles an hour may not be appropriate for all heart failure patients, especially without medical supervision. Exercise recommendations should be personalized based on the individual's condition and tolerance¹.

Choice D reason : While dietary modifications are part of heart failure management, completely eliminating all sodium and fat is not practical or recommended. Instead, a balanced diet with controlled sodium intake is advised to help manage fluid retention¹.

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Correct Answer is D

Explanation

Choice A reason : Cleaning dentures in a denture cup is a standard hygiene practice but does not directly address the low WBC count. While maintaining oral hygiene is important, it is not the most critical action related to the client's immunocompromised state⁶.

Choice B reason : Replacing the water in flower vases daily is a good practice to prevent bacterial growth; however, it is recommended to avoid having flowers or plants in the room of an immunocompromised patient due to the risk of exposure to fungi and bacteria⁷.

Choice C reason : Humidifying the room can be beneficial for respiratory comfort, but it must be done with caution in immunocompromised patients. Humidifiers need to be kept clean to prevent the growth of bacteria and fungi, which could be harmful to a patient with a low WBC count⁷.

Choice D reason : Serving cooked fruit with meals is the correct action because cooking fruit can eliminate potential pathogens that the client's compromised immune system may not be able to handle. Raw fruits and vegetables can harbor bacteria and other pathogens, so serving them cooked is a safer option for someone with a low WBC count⁶⁷.

A. Heat intolerance B. Facial edema C. Tachycardia D. Diarrhea

Correct Answer is B

Explanation

Choice A reason : Heat intolerance is not a symptom associated with myxedema coma. Instead, patients with myxedema coma typically present with cold intolerance due to decreased metabolic rate and reduced heat production as a result of hypothyroidism¹.

Choice B reason : Facial edema, particularly around the eyes, is a characteristic finding in myxedema coma. This condition results from severe hypothyroidism, which can cause mucopolysaccharide deposition in the skin, leading to non-pitting edema¹.

Choice C reason : Tachycardia is not expected in myxedema coma; rather, bradycardia is more common due to the reduced metabolic demands of the body in the hypothyroid state¹.

Choice D reason : Diarrhea is not typically a symptom of myxedema coma. Patients are more likely to experience constipation due to slowed gastrointestinal motility in the context of hypothyroidism¹.

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A client has been diagnosed with heart failure. One of the main overall objectives of the management of heart failure is which of the following?

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Naxlex Comprehensive Predictor Exams

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