A nurse is caring for a client with congestive heart failure who reports sudden weight gain, shortness of breath, and swelling in the ankles. What is the nurse's priority action?
Reassure the client that these symptoms are normal with CHF.
Encourage the client to increase fluid intake to prevent dehydration.
Notify the healthcare provider about the client's symptoms.
Administer a diuretic to reduce fluid retention.
The Correct Answer is C
A) This choice is incorrect because sudden weight gain, shortness of breath, and ankle swelling are not normal with CHF and may indicate worsening of the condition. The nurse should not reassure the client but rather take appropriate action to address the symptoms.
B) This choice is incorrect because the client's symptoms suggest fluid retention, and increasing fluid intake would exacerbate the condition. The nurse should not encourage the client to increase fluid intake without consulting the healthcare provider.
C) This choice is correct. The client's sudden weight gain, shortness of breath, and ankle swelling are signs of worsening congestive heart failure. The nurse's priority action is to notify the healthcare provider immediately to address the client's worsening condition and adjust the treatment plan as needed.
D) This choice is incorrect because administering a diuretic is not within the nurse's scope of practice without a healthcare provider's order. The nurse should first notify the healthcare provider to evaluate the client's condition and determine the appropriate intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This choice is incorrect because limiting fluid intake is not specific to the administration of spironolactone. Fluid intake may need to be adjusted based on the client's overall fluid balance and congestive heart failure status, but it is not a direct instruction related to the medication.
B) This choice is correct. Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia (high potassium levels). The client should avoid foods high in potassium to help prevent potassium overload and potential adverse effects.
C) This choice is incorrect because the timing of spironolactone administration may vary depending on the client's individual response and the presence of other medications. The client should follow the prescribed schedule given by the healthcare provider.
D) This choice is incorrect because monitoring blood pressure daily and adjusting the dose accordingly is not specific to the administration of spironolactone. While blood pressure may need to be monitored regularly, dosage adjustments should only be made under the guidance of the healthcare provider.
Questions
Correct Answer is C
Explanation
A) This choice is incorrect because ascites (abdominal swelling due to fluid accumulation) is a sign of right-sided heart failure, not left-sided heart failure.
B) This choice is incorrect because dependent edema (swelling in the legs and ankles) is also a sign of right-sided heart failure, not left-sided heart failure.
C) This choice is correct. Crackles in the lungs, also known as rales, are the classic hallmark of left-sided heart failure. They occur when fluid accumulates in the lungs, leading to abnormal lung sounds on auscultation.
D) This choice is incorrect because jugular vein distention is associated with right-sided heart failure, not left-sided heart failure.
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