During discharge teaching, an overweight client with heart failure (HF) is asked to make a grocery list for the nurse to review. What food choice(s) included on the client's list should the nurse encourage? Select all that apply.

Plain, air-popped popcorn.

Cheddar cheese cubes.

Lightly salted potato chips.

Natural whole almonds.

Canned fruit in heavy syrup.

Answer and Explanation

Correct Answer : A,D

A.   Plain, air-popped popcorn is a low-calorie, low-sodium snack that is suitable for clients with heart failure.
B.   Cheddar cheese cubes are high in fat and sodium, which is not ideal for heart failure management.

C.   Lightly salted potato chips still contain significant sodium, which should be limited in heart failure diets.
D.   Natural whole almonds are a good source of healthy fats and protein, making them a suitable option.
E.   Canned fruit in heavy syrup contains added sugars and unnecessary calories, which should be avoided.

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Correct Answer is ["A","B","C","H"]

Explanation

A. A case manager can coordinate the overall care plan, ensuring the client receives appropriate services and support during recovery and discharge planning.
B. An occupational therapist can help the client regain the ability to perform activities of daily living (ADLs) and improve fine motor skills affected by the stroke.
C. A speech therapist can assist the client with speech and language difficulties, as well as swallowing issues that may have resulted from the stroke.
D. A respiratory therapist is typically involved if there are respiratory issues, which are not indicated in this case.
E. A chief nursing officer provides leadership and oversight roles, and not direct patient care.
F. A medical assistant is typically involved in basic clinical tasks but not in specialized stroke recovery.
G. A pharmacy technician fills prescriptions but doesn’t directly participate in client rehabilitation.
H. A physical therapist can help the client improve strength, balance, and mobility, which are often impaired after a

A. IV 0.9% normal saline continuous infusion at 100 B. Daily weights C. Calculation of intake and output D. IV potassium sparing diuretic E. Continuous pulse oximetry monitoring F. Electrocardiogram monitoring

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"A"}}

Explanation

A. Given the client's chronic kidney disease and the risk of fluid overload, a high rate of normal saline infusion may not be appropriate without careful assessment and specific indication from the healthcare provider.
B. Monitoring daily weight is essential in managing fluid balance and assessing for potential fluid overload, especially in a child with chronic kidney disease.

C. Accurate measurement of intake and output is crucial in managing fluid balance and monitoring kidney function, particularly in a patient with a history of acute kidney injury and chronic kidney disease.
D. The client already has an elevated potassium level, and administering a potassium-sparing diuretic could worsen hyperkalemia, leading to dangerous cardiac complications.
E. Continuous monitoring of oxygen saturation is important due to the presence of bibasilar infiltrates on the chest X-ray, which could indicate a potential respiratory issue.
F. ECG monitoring is indicated due to the elevated potassium level (5.3 mEq/L), which can cause cardiac arrhythmias. The irregular heart rate further supports the need for ECG monitoring.

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During discharge teaching, an overweight client with heart failure (HF) is asked to make a grocery list for the nurse to review. What food choice(s) included on the client's list should the nurse encourage? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","H"]

Explanation

Patient Data Exhibits The healthcare provider has obtained the arterial blood gas and chest X-ray results. New prescriptions have been entered in the client's electronic health record. Nursing Action: Indicated/ Contraindicated

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"A"}}

Explanation

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