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 A
Explanation
A. Use the client's left arm to obtain blood samples: This is correct as using the arm on the opposite side of the mastectomy helps avoid additional stress or injury to the affected arm, which can help prevent lymphedema.
B. Keep both arms below the level of the client's heart: This is not recommended as elevating the affected arm can help reduce swelling and promote lymphatic drainage.
C. Limit range-of-motion exercises with the affected arm: This is incorrect as range-of-motion exercises are important to prevent stiffness and promote circulation, which helps reduce the risk of lymphedema.
D. Obtain blood pressure readings using the client's right arm: This is incorrect as obtaining blood pressure on the affected side could increase the risk of lymphedema.
Correct Answer is A
Explanation
A. Mark the edges of steps: Marking the edges of steps with high-contrast tape or paint helps increase visibility and prevent falls for individuals with visual impairments.
B. Use low-wattage light bulbs: Using low-wattage light bulbs might reduce the brightness needed for safety. Higher-wattage bulbs or bright, energy-efficient lighting is usually recommended to improve visibility.
C. Place throw rugs over electrical cords: Placing throw rugs over electrical cords can create tripping hazards and is not a safe practice for individuals with visual impairments.
D. Leave doors slightly ajar: Leaving doors ajar can create obstacles and increase the risk of injury for someone with visual impairment, as they may not be able to detect the open door.
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