A nurse is caring for a client with a new diagnosis of heart failure. Which of the following dietary recommendations should the nurse provide?

Low-sodium diet

High-potassium diet

Low-fiber diet

High-fat diet

Answer and Explanation

The Correct Answer is A

Choice A reason: A low-sodium diet is recommended for heart failure to reduce fluid retention. Sodium promotes water reabsorption in the kidneys via the renin-angiotensin-aldosterone system, increasing preload and cardiac workload. Limiting sodium helps decrease blood volume, easing strain on the heart and preventing exacerbation of heart failure symptoms like edema and dyspnea.

Choice B reason: A high-potassium diet is not routinely recommended for heart failure unless the client is on potassium-wasting diuretics like furosemide. While potassium supports cardiac function, excessive intake can cause hyperkalemia, especially in renal dysfunction, which is common in heart failure, potentially leading to arrhythmias and complicating management.

Choice C reason: A low-fiber diet is not beneficial for heart failure. High-fiber diets are preferred to manage constipation, which can strain the cardiovascular system during defecation. Fiber also supports overall health, reducing cholesterol and aiding weight control, which are important for heart failure patients to reduce cardiac workload.

Choice D reason: A high-fat diet is contraindicated in heart failure, as it increases the risk of atherosclerosis and cardiovascular strain. Dietary fats, especially saturated fats, contribute to coronary artery disease, worsening heart function. A heart-healthy diet emphasizes low-fat, nutrient-dense foods to support cardiac health and reduce disease progression.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: A decrease in blood pressure is not an indicator of adequate fluid replacement in burn patients. Severe burns cause hypovolemia from fluid loss, leading to hypotension. Adequate resuscitation should increase blood pressure by restoring intravascular volume, improving cardiac output, and ensuring tissue perfusion, not decrease it.

Choice B reason: A decrease in heart rate indicates adequate fluid replacement in burn patients. Severe burns cause hypovolemia, triggering tachycardia as the heart compensates for low blood volume. Restoring intravascular volume with IV fluids reduces the sympathetic drive, slowing the heart rate to normal, reflecting improved perfusion and hemodynamic stability.

Choice C reason: A decrease in urine output is not a sign of adequate fluid replacement. Burn patients require high urine output (0.5-1 mL/kg/hr) to ensure renal perfusion and prevent acute kidney injury. Adequate resuscitation increases urine output by restoring blood volume, not decreasing it, as low output indicates ongoing hypovolemia.

Choice D reason: A decrease in weight is not expected with adequate fluid replacement. Burn patients receive large volumes of IV fluids to counter hypovolemia and third-spacing, often leading to weight gain from fluid retention. A weight decrease could indicate inadequate resuscitation or diuresis, not successful restoration of intravascular volume.

A. Blood pressure of 104/72 mm Hg, pulse rate of 80, respiratory rate of 16 B. Blood pressure of 110/60 mm Hg, pulse of 70, respiratory rate of 14 C. Blood pressure of 90/50 mm Hg, pulse of 120, respiratory rate of 18 D. Blood pressure of 120/80 mm Hg, pulse of 100, respiratory rate of 20

Correct Answer is C

Explanation

Choice A reason: Blood pressure of 104/72 mm Hg, pulse of 80, and respiratory rate of 16 are within normal ranges for a postoperative patient. These vital signs indicate stable hemodynamic status and adequate oxygenation. Opioids may slightly lower blood pressure or respiratory rate, but these values do not suggest distress or complications requiring immediate provider notification. The patient’s condition appears stable, with no critical abnormalities warranting urgent intervention.

Choice B reason: Blood pressure of 110/60 mm Hg, pulse of 70, and respiratory rate of 14 are normal for a postoperative patient. These parameters reflect stable cardiovascular and respiratory function. Opioids can cause mild respiratory depression, but a rate of 14 is acceptable. No signs of opioid overdose, hypotension, or tachycardia are present, indicating no need for immediate provider contact or intervention.

Choice C reason: Blood pressure of 90/50 mm Hg, pulse of 120, and respiratory rate of 18 indicate potential opioid-related complications or postoperative issues like hypovolemia or shock. Hypotension and tachycardia suggest inadequate perfusion, possibly due to bleeding or opioid-induced vasodilation. These signs require immediate provider notification to assess for overdose, hemorrhage, or other serious conditions affecting systemic circulation and tissue oxygenation.

Choice D reason: Blood pressure of 120/80 mm Hg, pulse of 100, and respiratory rate of 20 are within acceptable ranges, though the pulse is slightly elevated. This could reflect pain or mild stress but does not indicate critical instability. Opioids may cause mild tachycardia, but these vital signs do not necessitate immediate provider contact as they suggest stable physiological function without severe complications.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client with a new diagnosis of heart failure. Which of the following dietary recommendations should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?

Correct Answer is B

Explanation

A nurse is caring for a postoperative patient receiving opioid analgesics for pain management. Which assessment would alert the nurse to contact the provider?

Correct Answer is C

Explanation

An occupational health nurse provides monthly lunch and learn sessions to employees of a rail transportation manufacturer. This month, they are providing education on the risk factors for peptic ulcer disease. Which risk factors should the nurse include in the educational session?

A nurse is caring for a client with diabetic ketoacidosis (DKA). Which of the following interventions is the priority?

A nurse is interviewing a preoperative patient scheduled for a total hip replacement. Which of the following failings would require the nurse to collaborate with the surgeon immediately before sending the patient to the operating room?

A nurse is monitoring a client receiving total parenteral nutrition (TPN). Which of the following complications should the nurse prioritize?

A nurse is preparing to administer a blood transfusion to a client. Which of the following actions should the nurse take to prevent a transfusion reaction?

Which interventions should the nurse implement to prevent a catheter-associated urinary tract infection (CAUTI)? (Select all that apply)

A nurse is caring for a client with a new tracheostomy. Which of the following actions should the nurse prioritize to prevent complications?

A provider tells the nurse a client with a peptic ulcer is being placed on a proton pump inhibitor. Which medication would the nurse anticipate the provider ordering?