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?

Weigh monthly.

Weigh daily.

Weigh twice a day.

Weigh weekly.

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is C

Explanation

Choice A Reason:Encouraging the client to rest in bed until she feels able to participate in unit activities is appropriate. Depression often leads to fatigue, lack of motivation, and decreased interest in daily activities. Allowing the client to rest and regain energy while acknowledging her feelings is supportive and respectful.

Choice B Reason:Telling the client that she needs to follow the rules of the unit and get out of bed may come across as dismissive and unsupportive. It does not consider the client's emotional state or address her fatigue. A more empathetic approach is needed.

Choice C Reason:Offering assistance to help the client sit up and put on her slippers is a helpful action, but it does not directly address her feelings of tiredness or depression. While physical support is essential, emotional support and understanding are equally crucial.

Choice D Reason:Linking getting out of bed to receiving a meal may inadvertently pressure the client. It could worsen her feelings of guilt or hopelessness. Instead, focusing on her well-being and emotional state is more appropriate.

A. Thrombolytic agents can be used to dissolve a blood clot that is blocking coronary artery flow. B. Patients are often kept on bedrest after initial diagnosis to reduce the workload of the heart. C. Timely diagnosis of myocardial infarction is not a factor in the extent of muscle damage. D. Percutaneous coronary intervention uses a stent to reopen the blocked coronary artery.

Correct Answer is C

Explanation

Choice A Reason:Thrombolytic agents (clot-dissolving drugs) are indeed used to dissolve blood clots that block coronary artery flow during a heart attack. These medications help restore blood flow and prevent further damage to the heart muscle.

Choice B Reason:Bedrest is commonly recommended after a myocardial infarction (heart attack) to reduce the workload on the heart. It allows the heart to heal and minimizes strain during the recovery phase.

Choice C Reason:Timely diagnosis of myocardial infarction is crucial because early intervention can significantly impact the extent of muscle damage. Rapid treatment helps preserve heart tissue and prevent complications.

Choice D Reason:Percutaneous coronary intervention (PCI) involves using a stent to reopen a blocked coronary artery. This procedure restores blood flow and improves outcomes for patients with myocardial infarction.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has depression and states that she is too tired to get out of bed or dress. Which of the following statements by the nurse is appropriate?

Correct Answer is C

Explanation

Which statement regarding the treatment of a myocardial infarction is incorrect?

Correct Answer is C

Explanation

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