A nurse is caring for a client who has heart failure and has gained 0.9 kg (2 lb) over the last 24 hr. Which of the following interventions should the nurse take?
Provide the client with three large meals per day.
Weigh the client once per week.
Reduce the client's sodium intake.
Restrict the client's protein intake.
The Correct Answer is C
A. Providing the client with three large meals per day may contribute to fluid retention and exacerbate heart failure symptoms. Smaller, more frequent meals may be better tolerated.
B. Weighing the client once per week is not appropriate when there are signs of fluid retention and weight gain in a client with heart failure. More frequent monitoring of weight is necessary in this situation.
C. Reducing the client's sodium intake can help decrease fluid retention and manage symptoms of heart failure. Excess sodium intake can lead to fluid retention and exacerbate heart failure symptoms.
D. Restricting the client's protein intake is not indicated based solely on weight gain in heart failure. Protein restriction may lead to muscle wasting and compromise overall nutritional status.
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Related Questions
Correct Answer is C
Explanation
A. Encouraging the client to eat even if nauseated may worsen nausea and discomfort. It's essential to respect the client's feelings of nausea and provide strategies to alleviate symptoms before eating.
B. Serving hot foods at mealtime may exacerbate nausea in some individuals. It's generally recommended to serve foods at room temperature or slightly chilled to minimize nausea.
C. Providing low-fat carbohydrates with meals, such as crackers or bread, can help settle the stomach and provide easily digestible energy. Complex carbohydrates are less likely to exacerbate nausea compared to fatty or spicy foods.
D. Limiting fluid intake between meals may help reduce nausea in some individuals, but it's important to ensure adequate hydration throughout the day. Encouraging small, frequent sips of clear fluids may be beneficial for managing nausea and preventing dehydration.
Correct Answer is D
Explanation
A. While vitamin B12 is important for overall health, it is not specifically associated with the prevention of neural tube defects. Folate, however, is crucial for preventing neural tube defects in the developing fetus.
B. Calcium is important for bone health but is not specifically associated with the prevention of neural tube defects.
C. Magnesium is important for various bodily functions but is not specifically associated with the prevention of neural tube defects.
D. Folate (also known as folic acid) is the key nutrient recommended for preventing neural tube defects in the fetus. Pregnant women are advised to consume adequate amounts of folate, either through their diet or through supplements.
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