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A low-sodium diet is prescribed for a client who has fluid volume overload due to chronic heart failure. The nurse recognizes that additional teaching is necessary when the client makes which statement?

“I can eat whatever I want in restaurants, as long as I don't add additional salt from the shaker when the food arrives to the table."

"I will eat more fresh vegetables, because canned vegetables can be high in sodium."

“I should read the nutrition labels when I grocery shop, because sodium can be high in a variety of processed foods."

"I can add lemon juice and herbs for flavor when I cook, instead of adding salt."

Answer and Explanation

The Correct Answer is A

A. This statement indicates a lack of understanding about hidden sodium in restaurant foods. Many restaurant dishes contain high levels of sodium, even if additional salt is not added at the table. The client needs to be educated about choosing low-sodium options when dining out and asking about the sodium content of meals.
B. This statement reflects correct understanding, as fresh vegetables typically contain less sodium than canned vegetables, which often have added salt.
C. This statement shows proper knowledge, as reading nutrition labels helps identify foods with high sodium content, allowing for better dietary choices.
D. This statement is appropriate, as using lemon juice and herbs is a good alternative to adding salt for flavoring food.

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Correct Answer is D

Explanation

A. Romiplostim does not increase the production of ADAMTS-13; it is used to increase platelet counts.
B. Romiplostim does not prevent platelet destruction in the spleen; it works by stimulating platelet production.
C. Romiplostim does not prevent platelets from binding with heparin; it is not used for heparin-induced thrombocytopenia.
D. Romiplostim is a thrombopoietin receptor agonist that stimulates the bone marrow to increase platelet production, which is its primary mechanism of action in treating ITP.

A. Atrial fibrillation B. Atrial flutter C. Premature atrial contractions D. Stable angina

Correct Answer is C

Explanation

A. Atrial fibrillation is characterized by an irregularly irregular rhythm and absence of distinct P-waves.
B. Atrial flutter typically presents with "saw-tooth" flutter waves rather than extra P-waves.
C. Premature atrial contractions (PACs) are identified by the presence of extra P-waves on an ECG.
D. Stable angina is related to chest pain and does not have specific ECG findings such as extra P-waves.

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A low-sodium diet is prescribed for a client who has fluid volume overload due to chronic heart failure. The nurse recognizes that additional teaching is necessary when the client makes which statement?

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Naxlex Comprehensive Predictor Exams

A client with immune thrombocytopenic purpura (ITP) will begin treatment with romiplostim (Nplate) to be administered by subcutaneous injection in the provider's office once per week. Which statement should the nurse plan to include when educating the client about this medication?

Correct Answer is D

Explanation

A client in an urgent care clinic states "My heart feels like it is skipping beats every now and then." A 12-lead electrocardiogram (ECG) shows a extra P-wave. The nurse should understand that this ECG finding represents which of the following conditions?

Correct Answer is C

Explanation

A nurse on an oncology unit is preparing to administer daunorubicin to a client who has leukemia. Which action should the nurse take before administering this medication?

A nurse is providing education to a client with heart failure who will begin taking digoxin daily at home. Which of the following statements made by the client indicates an understanding of the teaching? (Select all that apply.)

A client is seen in the emergency department with a heart failure exacerbation due to noncompliance with medications and fluid restrictions. Which key diagnostic result should the nurse assess to determine the severity of the client's heart failure exacerbation?

A client with a long history of poorly-managed left-sided heart failure complains of decreased urine output. Lab results show anemia and elevated serum creatinine levels. Based on these findings, which condition should the nurse suspect the client is experiencing?

A client has been admitted repeatedly in the past year for episodes of atrial flutter which the cardiologist believes are caused by an area of conduction in the atria other than the SA node. Medications have not improved the condition. Which procedure should the nurse anticipate will be performed?

A client has been diagnosed with chronic stable angina and has a new prescription for nitroglycerin tablets. Which statement about this medication should the nurse include in the patient education?

A low-sodium diet is prescribed for a client who has fluid volume overload due to chronic heart failure. The nurse recognizes that additional teaching is necessary when the client makes which statement?