The nurse is caring for a male patient, age 54, who had a myocardial infarction 2 days ago. His wife, who is very talkative, has remained at his bedside. Which of these interventions should the nurse implement to reduce the workload of the heart? (Select all that apply.)

Administer daily stool softener.

Provide bedside commode.

Advocate for rest periods with no visitors.

Provide regular diet.

Ambulate four times a day.

Maintain bedrest.

Answer and Explanation

Correct Answer : A,B,C,F

Choice A reason: Administering a daily stool softener can help prevent straining during bowel movements, which can increase cardiac workload.

Choice B reason: Providing a bedside commode reduces the effort required to go to the bathroom, thus reducing cardiac workload.

Choice C reason: Advocating for rest periods with no visitors can help reduce emotional stress and physical exertion, which can increase cardiac workload.

Choice D reason: A regular diet is not specifically an intervention to reduce cardiac workload and may not be appropriate immediately following a myocardial infarction.

Choice E reason: Ambulating four times a day is not recommended immediately following a myocardial infarction as it can increase cardiac workload.

Choice F reason: Maintaining bedrest can help reduce the workload on the heart by minimizing physical activity.

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Correct Answer is B

Explanation

Choice A reason: Weighing monthly is not frequent enough to monitor fluid status effectively in a patient with chronic heart failure.

Choice B reason: Weighing daily is recommended to detect early signs of fluid retention, which is crucial for patients with chronic heart failure.

Choice C reason: Weighing twice a day is not typically necessary unless specifically recommended by a healthcare provider for close monitoring.

Choice D reason: Weighing weekly may miss early signs of fluid retention and is not recommended for daily monitoring of fluid status in chronic heart failure.

A. Fear B. Compulsions C. Euphoria D. Extreme sadness

Correct Answer is D

Explanation

Choice A reason: Fear is a common emotion but is not a defining symptom of major depression.

Choice B reason: Compulsions are more characteristic of obsessive-compulsive disorder, not major depression.

Choice C reason: Euphoria is typically not associated with major depression, which is characterized by a persistent feeling of sadness or loss of interest.

Choice D reason: Extreme sadness is a hallmark symptom of major depression, often accompanied by a loss of interest in activities that were once enjoyed.

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The nurse is caring for a male patient, age 54, who had a myocardial infarction 2 days ago. His wife, who is very talkative, has remained at his bedside. Which of these interventions should the nurse implement to reduce the workload of the heart? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reinforcing teaching for a patient with chronic heart failure. Which of the following weight measurements should the nurse ask the patient to perform to monitor fluid status at home?

Correct Answer is B

Explanation

The nurse who is assessing a patient with major depression would expect to observe which of the following symptoms?

Correct Answer is D

Explanation

The nursing interventions for a patient with major depression would include all the following except:

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