The nurse is caring for a patient with heart failure. Which of the following treatment goals should the nurse prioritize?

Administer high-calorie diet to prevent weight loss.

Reduce sodium intake to help manage fluid retention.

Encourage complete bed rest to reduce cardiac workload.

Increase fluid intake to maintain hydration.

Answer and Explanation

The Correct Answer is B

A. Administer high-calorie diet to prevent weight loss. While adequate nutrition is important, a high-calorie diet is not the primary priority in managing heart failure. Sodium and fluid management are usually more crucial to control fluid overload.

B. Reduce sodium intake to help manage fluid retention. Reducing sodium intake is a priority in heart failure management as it helps prevent fluid retention, which reduces workload on the heart and decreases symptoms of fluid overload.

C. Encourage complete bed rest to reduce cardiac workload. Complete bed rest is not recommended as it can lead to deconditioning and increased risk of blood clots. Activity should be balanced according to the patient’s tolerance.

D. Increase fluid intake to maintain hydration. In heart failure, increasing fluid intake could worsen fluid overload. Fluid restriction may be necessary to prevent excess fluid retention.

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Correct Answer is ["B","C","D","E"]

Explanation

A. Family history. Family history is a non-modifiable risk factor for heart disease, as it is genetic and cannot be changed.

B. Smoking. Smoking is a modifiable risk factor. Quitting smoking can significantly reduce the risk of heart disease.

C. Sedentary Lifestyle. Physical inactivity is a modifiable risk factor. Increasing activity levels can help lower the risk of heart disease.

D. Diabetes. While diabetes itself may be a chronic condition, managing blood sugar through diet, medication, and lifestyle changes can reduce heart disease risk.

E. Hypertension. Hypertension is a modifiable risk factor. Controlling blood pressure through medication, diet, and exercise can reduce heart disease risk.

A. Lie down immediately after eating to aid digestion. Although lying down after eating can slow gastric emptying and help prevent dumping syndrome, it does not aid in digestion. B. Include high-carbohydrate foods in every meal. High-carbohydrate foods are likely to worsen symptoms of dumping syndrome by causing rapid glucose absorption, which leads to a spike in insulin and subsequent hypoglycemia. C. Drink fluids with meals to aid in digestion. Fluids should be taken between meals rather than with meals to avoid rapid gastric emptying and prevent dumping syndrome.

Correct Answer is B

Explanation

A. Consume small frequent meals throughout the day. Small, frequent meals reduce the volume of food entering the small intestine at one time, helping to prevent symptoms of dumping syndrome.

B. Lie down immediately after eating to aid digestion. Although lying down after eating can slow gastric emptying and help prevent dumping syndrome, it does not aid in digestion.

C. Include high-carbohydrate foods in every meal. High-carbohydrate foods are likely to worsen symptoms of dumping syndrome by causing rapid glucose absorption, which leads to a spike in insulin and subsequent hypoglycemia.

D. Drink fluids with meals to aid in digestion. Fluids should be taken between meals rather than with meals to avoid rapid gastric emptying and prevent dumping syndrome.

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The nurse is caring for a patient with heart failure. Which of the following treatment goals should the nurse prioritize?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client about risk factors for heart disease. Which of the following risk factors is modifiable? Select all that apply.

Correct Answer is ["B","C","D","E"]

Explanation

A. Consume small frequent meals throughout the day. Small, frequent meals reduce the volume of food entering the small intestine at one time, helping to prevent symptoms of dumping syndrome.

Correct Answer is B

Explanation

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