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","C","D","E","G"]

Explanation

A. Encouraging the client to sit up and ambulate helps prevent complications such as atelectasis and deep vein thrombosis by promoting lung expansion and blood circulation.
B. While monitoring for bleeding is important, in most stable postoperative cases, continuous monitoring isn't necessary. Once daily checks are often sufficient.
C. Regular use of the incentive spirometer helps prevent respiratory complications such as pneumonia by promoting deep breathing and lung expansion.
D. Adequate hydration is essential for wound healing, preventing urinary retention, and maintaining overall physiological function. Encourage the client to drink fluids within their prescribed limits.
E. Monitoring for sedation after administering pain medications is crucial to ensure the client's safety and prevent respiratory depression. Assess the client's level of consciousness, respiratory rate, and oxygen saturation regularly.
F. Neurological assessments are usually not required this frequently unless there are specific concerns.
G. Administering pain medication after activity helps manage postoperative pain effectively, enabling the client to participate in necessary activities such as ambulation and respiratory exercises. It's important to ensure that pain is adequately controlled to facilitate recovery and promote comfort.

A. Ask the client to describe the pain. B. Identify effective pain relief measures. C. Observe body language and movement. C. Provide a numeric pain scale.

Correct Answer is A

Explanation

A. Asking the client to describe the pain allows for a detailed assessment of the pain's quality, location, intensity, and any aggravating or alleviating factors. This information is crucial for tailoring pain management strategies to the client's specific needs.
B. Identifying effective pain relief measures is important but comes after understanding the pain's characteristics.
C. Observing body language and movement can provide clues about pain but is subjective and less accurate than direct communication.
D. A numeric pain scale measures pain intensity but does not provide information about the quality or nature of the pain.

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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

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Correct Answer is ["A","C","D","E","G"]

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Correct Answer is A

Explanation

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