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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: Encouraging the client to sleep during the day can disrupt the normal sleep-wake cycle and is not recommended for managing insomnia associated with depression.

Choice B reason: Scheduling a brisk physical activity before bedtime can be stimulating and may actually make it more difficult for the client to fall asleep.

Choice C reason: Monitoring for bouts of diarrhea is not directly related to the care of a client with severe depression unless the client is on specific medications that may cause gastrointestinal upset as a side effect.

Choice D reason: Offering frequent small snacks can help manage the weight loss and decreased appetite often seen in clients with severe depression, ensuring they receive adequate nutrition.

A. Lack of sufficient oxygen to the myocardium. B. Increased cardiac workload. C. Interrupted electrical activity to areas of the heart. D. Lack of nutrients to the heart.

Correct Answer is A

Explanation

Choice A reason: The myocardium requires a constant supply of oxygen to function properly. Coronary artery disease (CAD) causes a reduction in blood flow due to narrowed or blocked coronary arteries, leading to a lack of oxygen in the heart muscle, which can result in angina or chest pain.

Choice B reason: While increased cardiac workload can exacerbate chest pain, it is not the primary cause of pain in CAD. The pain is primarily due to ischemia, which is the lack of oxygen and nutrients to the heart tissue due to reduced blood flow.

Choice C reason: Interrupted electrical activity can lead to arrhythmias or heart attack, but it is not the direct cause of pain in CAD. The pain is related to ischemia, not electrical disturbances.

Choice D reason: A lack of nutrients, including oxygen, to the heart does contribute to the pain experienced in CAD; however, the primary factor is the insufficient oxygen supply, which is explicitly stated in choice A.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who is newly admitted with severe depression. Which of the following actions should be added to the plan of care?

Correct Answer is D

Explanation

The nurse is reinforcing teaching to the patient about the cause of pain from coronary artery disease. The nurse would evaluate the patient as understanding the education if the patient stated which of the following causes the pain from coronary artery disease?

Correct Answer is A

Explanation

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The nurse reviews the lab test results of a patient who has heart failure (HF). Which test result would be most important for the nurse to report to the healthcare provider (HCP)?

Which of the following is not true about depression?

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