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.

Answer and Explanation

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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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Place the client in a negative-pressure airflow room: This is correct as these symptoms are indicative of tuberculosis (TB), which requires airborne precautions. A negative-pressure room helps to prevent the spread of airborne pathogens.
B. Wear a surgical mask when entering the client's room: This is incorrect because a surgical mask does not provide adequate protection against airborne particles; an N95 respirator is necessary for airborne precautions.
C. Have a container for soiled linens outside the client's door: This is incorrect as soiled linens should be handled and disposed of within the room under appropriate infection control protocols, not just placed outside.
D. Remain within 91.4 cm (3 ft) of the client: This is incorrect as maintaining this distance does not prevent the spread of airborne diseases. Proper airborne precautions, including the use of personal protective equipment, are necessary.

Correct Answer is ["10"]

Explanation

• Desired dose: 25 mg
• Available concentration: 12.5 mg/5 mL
• To find the volume to administer, we can use the formula:
• Volume to administer (mL) = Desired dose (mg) / Concentration (mg/mL)
• First, we need to find the concentration in mg/mL:
• Concentration = 12.5 mg / 5 mL = 2.5 mg/mL
• Now, we can calculate the volume:
• Volume to administer = 25 mg / 2.5 mg/mL = 10 mL

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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?

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