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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Anger towards a deceased spouse can be a sign of unresolved grief and may indicate complicated grief or depression, requiring further intervention.
Choice B reason: Reestablishing relationships is a positive step in coping with loss and suggests progress in managing grief.
Choice C reason: Although it's difficult, the effort to engage with the community is a positive sign of coping and does not typically indicate a need for further intervention.
Choice D reason: A lack of desire to eat due to the absence of a loved one can be a normal part of grieving, but if persistent, it may require intervention to address potential depression.
Correct Answer is D
Explanation
Choice A reason: A high potassium level can increase the risk of digoxin toxicity. The normal range for potassium is typically 3.5 to 5.0 mEq/L, so a level of 5.5 mEq/L should be reported.
Choice B reason: A potassium level of 3.8 mEq/L is within the normal range and would not typically increase the risk of digoxin toxicity.
Choice C reason: A potassium level of 4.5 mEq/L is within the normal range and would not typically increase the risk of digoxin toxicity.
Choice D reason: A low potassium level can also increase the risk of digoxin toxicity, but the question asks for the result that does not increase the risk, making 2.9 mEq/L incorrect in this context.
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