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: Creatine kinase can be elevated in heart failure but is not as specific as BNP for this condition.

Choice B reason: Myoglobin is a muscle protein that can be released into the bloodstream after muscle injury, including heart muscle, but it is not as specific for heart failure as BNP.

Choice C reason: Troponin is a marker of heart muscle injury and can be elevated in heart failure, but BNP is more directly related to the diagnosis and severity of heart failure.

Choice D reason: Serum B-type natriuretic peptide (BNP) is specifically released by the ventricles in response to excessive stretching of heart muscle cells, making it a key marker for heart failure. Elevated levels of BNP are directly correlated with the severity of heart failure and are important for both diagnosis and management.

A. Sweating B. Fatigue C. Shortness of breath D. Dizziness E. Nausea F. Pain between shoulder blades

Correct Answer is ["A","B","C","D","E","F"]

Explanation

Choice A reason: Sweating can be an atypical symptom of a myocardial infarction, especially if it is sudden and occurs without exertion.

Choice B reason: Fatigue, particularly if it is new or unexplained, can be a sign of a myocardial infarction.

Choice C reason: Shortness of breath without chest pain can also be an atypical presentation of a myocardial infarction.

Choice D reason: Dizziness, especially if associated with other symptoms, can indicate a myocardial infarction.

Choice E reason: Nausea is another atypical symptom that can occur with a myocardial infarction.

Choice F reason: Pain between the shoulder blades can be an atypical symptom of a myocardial infarction.

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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

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)?

Correct Answer is D

Explanation

The licensed practical nurse is assisting with collecting data on a female patient. Which of the following findings should be reported to the registered nurse as possible atypical symptoms of a myocardial infarction in the absence of chest pain? Select all that apply.

Correct Answer is ["A","B","C","D","E","F"]

Explanation

A nurse is caring for a client who has depression and states that she is too tired to get out of bed or dress. Which of the following statements by the nurse is appropriate?

Your patient has a diagnosis of major depressive disorder and has been started on sertraline (Zoloft) 50mg daily. After taking the medication for 3 days, the patient says, "I don't think the medicine is working. I don't want to take it any longer." What is your best response?

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A nurse is preparing to administer digoxin to a client who has heart failure. Before administering this medication, which of the following actions should the nurse take?

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