The client is admitted to the nurse's unit with a diagnosis of heart failure. His heart is not pumping effectively, which is resulting in edema and coarse crackles in his lungs. The term for this condition is:
Myocardial Infarction.
Atelectasis.
Fluid volume deficit.
Fluid volume excess.
The Correct Answer is D
Heart failure is a condition in which the heart is unable to pump blood effectively, leading to a buildup of fluid in the body. This can result in edema (swelling) and fluid accumulation in the lungs, causing coarse crackles when breathing. The term for this condition is fluid volume excess, which refers to an excessive amount of fluid in the body.
Myocardial infarction is a heart attack, atelectasis is a collapse of lung tissue, and fluid volume deficit refers to a lack of fluid in the body.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
During discharge planning, the nurse is responsible for teaching the client how to maintain comfort, promote healing, and restore wellness. This includes instructing the client to report promptly to the practitioner any **increased** redness, swelling, pain, or discharge from the incision or drain sites. These symptoms may indicate an infection or other complication that requires medical attention. The other actions listed are correct and important for promoting healing and wellness after discharge.
Correct Answer is B
Explanation
When selecting interventions for a care plan, the nurse should consider several principles. One important principle is that actions should address the underlying cause (etiology) of the nursing diagnosis. By addressing the root cause of the problem, interventions can be more effective in achieving the desired outcomes. There is not necessarily one "best" intervention for each goal or outcome, as different clients may have different needs and respond differently to interventions. Interventions can include both "doing" actions and monitoring, and both independent and collaborative interventions may be appropriate depending on the situation.
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