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.
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Related Questions
Correct Answer is D
Explanation
A. Unscrew the pins to cleanse the pin sites: Unscrewing the pins is incorrect as it can compromise the stability of the traction and increase the risk of infection. Pin site care should be performed according to the facility's protocol without disturbing the pins.
B. Remove the weights while turning the client in bed: Removing weights is incorrect as it can disrupt the alignment and effectiveness of the traction. Weights should be left in place to maintain proper traction and alignment.
C. Loosen the rope knots holding the weights for 30 min if the client reports pain: Loosening the rope knots is inappropriate and can interfere with the traction's effectiveness. Pain management should involve assessing the client's comfort and reviewing the traction setup, but not altering the traction itself.
D. Ensure that there is at least 4.5 kg (10 lb) of weight applied to the client's traction: This is correct as maintaining the appropriate amount of weight is crucial for proper skeletal traction. Ensuring that the prescribed weight is applied helps in achieving the desired therapeutic effect.
Correct Answer is D
Explanation
A. Decreased bronchospasms: Metoprolol, a beta-blocker, does not typically decrease bronchospasms and may actually exacerbate them in susceptible individuals.
B. Increased blood glucose level: Metoprolol does not generally increase blood glucose levels. However, it can mask hypoglycemic symptoms in diabetic patients.
C. Increased blood pressure: Metoprolol is used to lower blood pressure, not increase it.
D. Decreased heart rate: This is correct as metoprolol is a beta-blocker that reduces heart rate by blocking beta-adrenergic receptors.
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