A nurse is assisting with the plan of care for a client who has heart failure. Which of the following interventions should the nurse recommend?
Offer snacks that are high in sodium.
Place the head of the client's bed flat.
Monitor the client's weight once per week.
Provide rest periods throughout the day.
The Correct Answer is D
A. Offer snacks that are high in sodium: This is incorrect as high sodium intake can exacerbate heart failure by increasing fluid retention and worsening symptoms.
B. Place the head of the client's bed flat: This is incorrect because elevating the head of the bed helps reduce shortness of breath and improves comfort in heart failure patients.
C. Monitor the client's weight once per week: This is incorrect; daily weight monitoring is recommended to detect fluid retention or loss, which can be critical in managing heart failure.
D. Provide rest periods throughout the day: This is correct as providing rest periods helps manage fatigue and reduce the workload on the heart, which is important in heart failure management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Dyspnea: This is correct as dyspnea (difficulty breathing) can be a sign of fluid overload, particularly when excess fluid accumulates in the lungs.
B. Pruritus: This is more indicative of an allergic reaction rather than fluid overload.
C. Fever: This is often associated with transfusion reactions or infection, not specifically fluid overload.
D. Bradycardia: This is less commonly associated with fluid overload and more often seen in other conditions or complications.
Correct Answer is ["1.5"]
Explanation
• Desired dose: 15,000 units
• Available concentration: 10,000 units/mL
• To find the volume to administer, we can use the formula:
• Volume to administer (mL) = Desired dose (units) / Concentration (units/mL)
• Volume to administer = 15,000 units / 10,000 units/mL = 1.5 mL
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