A patient with heart failure is prescribed bedrest but becomes angry and walks to the bathroom independently to use the toilet. How should the nurse handle this situation?
Call for help while holding the patient in bed.
Walk the patient to the bathroom.
Obtain a bedside commode.
Obtain a bedpan for the patient to use.
The Correct Answer is C
Choice A reason: Physically restraining the patient is not appropriate unless the patient is at immediate risk of harm to themselves or others.
Choice B reason: Walking the patient to the bathroom may not be safe if the patient has been prescribed bedrest due to heart failure.
Choice C reason: Obtaining a bedside commode respects the patient's autonomy and dignity while adhering to the prescribed bedrest.
Choice D reason: While obtaining a bedpan is an option, a bedside commode may be more comfortable and dignified for the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Cor pulmonale specifically refers to right-sided heart failure. It occurs due to an underlying lung disorder causing pulmonary hypertension (high pressures in the lungs). The right ventricle enlarges and pumps blood less effectively.
Choice B reason:Cor pulmonale does not involve the left side of the heart. It is primarily related to the right ventricle.
Choice C reason: While further testing may be necessary, it does not directly explain cor pulmonale.
Choice D reason:Cor pulmonale results from lung conditions causing pulmonary hypertension.The right ventricle becomes enlarged and less effective due to increased pressure in the pulmonary arteries.
Correct Answer is D
Explanation
Choice A reason: Spaghetti, while a source of carbohydrates, may not be the best option for someone experiencing acute mania who might benefit from simpler, less stimulating foods.
Choice B reason: Soup can be a good choice but may not provide the necessary energy and nutrient density needed for someone in a manic state.
Choice C reason: A peanut butter sandwich could be a good option, but it might be too complex for a client to focus on eating during a manic episode.
Choice D reason: Oatmeal is an excellent choice as it is a whole grain that can have a calming effect on the mind and is easy to consume.
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