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. 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.

A. Cooking in a stainless steel skillet increases the amount of iron in the food. B. Drinking iced tea with meals can increase the amount of iron absorbed. C. Fish and poultry are primary sources of heme iron. D. Drinking orange juice with iron supplements can decrease absorption.

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.

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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

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