A community health nurse is reviewing home care instructions with an older adult client who has a new diagnosis of heart failure.
Which of the following is the priority topic for the nurse to review with the client?
Daily exercise routine.
Daily sodium restrictions.
Fluid intake record.
Changes in weight.
The Correct Answer is D
The priority topic for the nurse to review with the client is monitoring changes in weight.
A sudden weight gain may mean that the client’s heart failure is getting worse and they should call their doctor if they have a sudden weight gain, such as more than 2 to 3 pounds in a day or 5 pounds in a week.
Choice A is wrong because while daily exercise is important for overall health, it is not the priority topic for the nurse to review with the client.
Choice B is wrong because while daily sodium restrictions are important for managing heart failure, it is not the priority topic for the nurse to review with the client.
Choice C is wrong because while monitoring fluid intake is important for managing heart failure, it is not the priority topic for the nurse to review with the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This statement indicates an understanding of the teaching because it shows that the client is aware of the importance of reducing their risk of infection by taking precautions when handling pet waste.
Choice A is wrong because while increasing the amount of fresh fruits and vegetables consumed is a healthy dietary choice, it does not demonstrate an understanding of the discharge teaching for a client with AIDS.
Choice B is wrong because while cleaning up areas soiled with body fluids is important, using alcohol and immediately disposing of the trash is not necessary.
Choice D is wrong because taking clothes to the dry cleaners to sterilize them is not necessary for a client with AIDS.
Correct Answer is A
Explanation
Let’s break down the problem step by step:
Step 1: Convert the client’s weight from pounds (lb) to kilograms (kg). We know that 1 kg = 2.2 lbs. So, we have: 220 lb ÷ 2.2 = 100 kg
Step 2: Calculate the total amount of naloxone needed. The doctor ordered 10 mcg/kg, and the client weighs 100 kg. So, we have: 10 mcg/kg × 100 kg = 1000 mcg
Step 3: Convert micrograms (mcg) to milligrams (mg). We know that 1 mg = 1000 mcg. So, we have: 1000 mcg ÷ 1000 = 1 mg
Step 4: Calculate the volume of naloxone solution needed. The available naloxone solution is 0.4 mg/mL. So, we have: 1 mg ÷ 0.4 = 2.5 mL
So, the nurse should administer 2.5 mL of naloxone. Since we are asked to round off to the nearest tenth, the final answer remains 2.5 mL.
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