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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A: Cooking in a stainless steel skillet does not increase the amount of iron in food. Iron skillets are known to increase iron content in food, not stainless steel.
B: Drinking iced tea with meals can actually decrease iron absorption. Tea contains tannins, which bind to iron and can inhibit its absorption.
C: Fish and poultry are indeed primary sources of heme iron, which is more easily absorbed by the body than non-heme iron found in plant sources.
D: Drinking orange juice with iron supplements can increase absorption. The vitamin C in orange juice enhances the absorption of iron.
Correct Answer is B
Explanation
A. Vomiting is not typically associated with hypoglycemia; instead, it can be a symptom of hyperglycemia or other gastrointestinal issues.
B. Blurred vision is a common manifestation of hypoglycemia due to the effects of low blood sugar on the function of the eyes.
C. Kussmaul respirations are deep and rapid breathing patterns typically seen in diabetic ketoacidosis (DKA), which is a complication of hyperglycemia, not hypoglycemia.
D. Bradycardia (slow heart rate) is not a typical manifestation of hypoglycemia; instead, tachycardia (rapid heart rate) is more commonly observed as a compensatory response to low blood sugar.
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