A nurse is admitting a client who has acute heart fallure. Which of the following prescriptions from the provider should the nurse anticipate?

Ambulate the client every 4 hr while awake.

Infuse 0.9% sodium chloride 500 mL IV bolus over 1 hr.

Provide the client with a 4 g sodium diet.

Administer enalapril 2.5 mg PO twice daily.

Answer and Explanation

The Correct Answer is D

A.   Although activity is encouraged, clients with acute heart failure may require rest to minimize cardiac demand.
B.   Clients with acute heart failure typically need fluid restrictions, not boluses, which could exacerbate heart failure symptoms.
C.   A low-sodium diet is usually recommended for heart failure clients to help manage fluid retention, not a high-sodium diet.
D.   Enalapril is an ACE inhibitor often prescribed for clients with heart failure as it helps reduce blood pressure and decrease the workload on the heart.

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Correct Answer is C

Explanation

A. To prevent infection and ensure proper healing, it's usually advised to avoid submerging the catheterization site in water until it has adequately healed.

B. There is generally no need for a special diet such as a clear liquid diet following cardiac catheterization unless specified for other reasons.
C. Following cardiac catheterization, it's important to keep the pressure dressing in place to ensure proper healing and prevent bleeding from the catheterization site. Typically, the dressing is removed the next day under safe, controlled conditions.
D. Typically, children can return to school within a few days after cardiac catheterization unless complications arise or there are other specific medical advisories.

A. Use up to 40 nicotine lozenges per day. B. Substitute tobacco use with an electronic cigarette. C. Limit use of nicotine gum to 6 months. D. Use progressively larger nicotine patches.

Correct Answer is C

Explanation

A. Using up to 40 nicotine lozenges per day is excessive and may lead to nicotine toxicity.

B. Substituting tobacco use with an electronic cigarette is not recommended due to potential health risks associated with vaping.
C. Nicotine replacement therapy, such as nicotine gum, should be used for a limited duration to avoid dependence. The nurse should educate the client to limit the use of nicotine gum to no more than 6 months to achieve smoking cessation goals effectively.
D. Using progressively larger nicotine patches is not a standard practice and may increase the risk of nicotine overdose.

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A nurse is admitting a client who has acute heart fallure. Which of the following prescriptions from the provider should the nurse anticipate?

Nursing Test Bank

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