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.

Answer and Explanation

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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Correct Answer is D

Explanation

A. Hypothyroidism is a condition characterized by an underactive thyroid gland and can contribute to weight gain, but it is not a direct complication of childhood obesity.

B. Juvenile rheumatoid arthritis is a chronic inflammatory disorder that affects the joints and is not directly related to obesity.
C. Type 1 diabetes mellitus is an autoimmune condition in which the pancreas produces little or no insulin, leading to high blood sugar levels. While obesity is a risk factor for type 2 diabetes, it is not a direct complication of childhood obesity.
D. Hypertension, or high blood pressure, is a known complication of obesity in both children and adults. Excess body weight can increase the workload on the heart and blood vessels, leading to elevated blood pressure.

A. “A low-protein diet should be followed for 3 months prior to conception." B. "Breastfeeding will prevent your baby from developing PKU." C. "Serum bilirubin should be monitored one to two times per month during pregnancy." D. "Diet sodas should not be consumed more than two or three times per week."

Correct Answer is A

Explanation

A. For individuals with PKU who are planning a pregnancy, it is recommended to follow a low- protein diet prior to conception to minimize the risk of maternal phenylalanine levels causing harm to the developing fetus.

B. Breastfeeding does not prevent a baby from developing PKU. Babies born to mothers with PKU need special formula to avoid the harmful effects of high levels of phenylalanine in breast milk.
C. Monitoring serum bilirubin levels is not specific to PKU management during pregnancy.

D. Consumption of diet sodas is not directly related to PKU management during pregnancy.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is A

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