Nonpharmacological treatment of heart failure includes:
High protein diet
Limit salt intake
50 pound weight loss
Decrease Water intake
The Correct Answer is B
A) High protein diet:
A high-protein diet is generally not a recommended nonpharmacological treatment for heart failure. While adequate protein intake is important for overall health, heart failure management typically focuses more on regulating sodium, fluid, and caloric intake. In some cases, a high-protein diet could place additional strain on the kidneys or exacerbate other conditions that may complicate heart failure.
B) Limit salt intake:
Limiting salt (sodium) intake is a crucial nonpharmacological strategy in managing heart failure. Excessive sodium can cause the body to retain water, leading to fluid overload, which can worsen heart failure symptoms such as edema, shortness of breath, and elevated blood pressure. Reducing sodium intake helps prevent these complications and aids in controlling symptoms.
C) 50 pound weight loss:
While weight loss may be beneficial for some individuals, especially those who are obese, a sudden or extreme weight loss of 50 pounds is not typically advised for someone with heart failure unless supervised by a healthcare provider. Rapid weight loss can lead to dehydration or electrolyte imbalances, which may exacerbate heart failure symptoms.
D) Decrease Water intake:
While fluid restriction may be necessary for some individuals, especially those with severe fluid retention or in advanced stages of heart failure, it is not a blanket recommendation. The approach to fluid intake should be based on the individual’s condition, including factors such as kidney function and the presence of edema.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A) Vomiting:
Vomiting is a common symptom of digoxin toxicity. It occurs as a result of the toxic effects of digoxin on the gastrointestinal system. It is often one of the first symptoms that precede more severe signs of toxicity, such as arrhythmias and changes in vision. Vomiting, nausea, and anorexia are classic early signs of digoxin toxicity.
B) Nausea:
Nausea is another early sign of digoxin toxicity. It occurs due to the direct effects of the drug on the gastrointestinal tract and the central nervous system. Along with vomiting, nausea is a frequently observed symptom and often occurs before more severe manifestations like arrhythmias or confusion.
C) Blurred Vision:
Blurred vision, or seeing yellow or green halos around lights, is a hallmark sign of digoxin toxicity. This visual disturbance occurs due to the effect of digoxin on the optic nerve and the retina. This symptom is particularly important in identifying digoxin toxicity, as it is not commonly seen in other conditions.
D) Headache:
While headache may occur in a variety of clinical conditions, it is not typically a direct symptom of digoxin toxicity. Although some patients may experience headache due to general discomfort or the effects of vomiting and nausea, it is not a classic or primary indicator of digoxin toxicity. Therefore, headache is not as strongly associated with digoxin toxicity as vomiting, nausea, and blurred vision are.
E) Muscle aches:
Muscle aches are not a typical symptom of digoxin toxicity. While generalized weakness may occur due to the cardiac effects of digoxin, muscle aches are not specifically associated with toxicity.
Correct Answer is D
Explanation
Given:
Ordered dose of Acyclovir: 12 mg/kg
Patient weight: 115 lbs
Concentration of Acyclovir: 100 mg/2 mL
Step 1: Convert patient weight from pounds to kilograms:
1 pound (lb) = 0.453592 kilograms (kg)
Patient weight in kg = 115 lbs * 0.453592 kg/lb = 52.16308 kg
Step 2: Calculate the total dose of Acyclovir:
Total dose (mg) = Ordered dose (mg/kg) x Patient weight (kg)
Total dose (mg) = 12 mg/kg x 52.16308 kg = 625.95696 mg
Step 3: Calculate the volume to be administered:
Volume (mL) = Total dose (mg) / Concentration (mg/mL)
Volume (mL) = 625.95696 mg / 100 mg/2 mL
Volume (mL) = 625.95696 mg x (2 mL / 100 mg)
Volume (mL) = 12.5191392 mL
Step 4: Round to the nearest tenth:
Volume (mL) ≈ 12.5 mL/dose
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