The nurse reviews the lab test results of a patient who has heart failure (HF). Which test result would be most important for the nurse to report to the healthcare provider (HCP)?

Creatine kinase

Myoglobin

Troponin

Serum B-type natriuretic peptide (BNP)

Answer and Explanation

The Correct Answer is D

Choice A reason: Creatine kinase can be elevated in heart failure but is not as specific as BNP for this condition.

Choice B reason: Myoglobin is a muscle protein that can be released into the bloodstream after muscle injury, including heart muscle, but it is not as specific for heart failure as BNP.

Choice C reason: Troponin is a marker of heart muscle injury and can be elevated in heart failure, but BNP is more directly related to the diagnosis and severity of heart failure.

Choice D reason: Serum B-type natriuretic peptide (BNP) is specifically released by the ventricles in response to excessive stretching of heart muscle cells, making it a key marker for heart failure. Elevated levels of BNP are directly correlated with the severity of heart failure and are important for both diagnosis and management.

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Correct Answer is D

Explanation

Choice A reason: Spaghetti, while a source of carbohydrates, may not be the best option for someone experiencing acute mania who might benefit from simpler, less stimulating foods.

Choice B reason: Soup can be a good choice but may not provide the necessary energy and nutrient density needed for someone in a manic state.

Choice C reason: A peanut butter sandwich could be a good option, but it might be too complex for a client to focus on eating during a manic episode.

Choice D reason: Oatmeal is an excellent choice as it is a whole grain that can have a calming effect on the mind and is easy to consume.

A. Administer daily stool softener. B. Provide bedside commode. C. Advocate for rest periods with no visitors. D. Provide regular diet. E. Ambulate four times a day. F. Maintain bedrest.

Correct Answer is ["A","B","C","F"]

Explanation

Choice A reason: Administering a daily stool softener can help prevent straining during bowel movements, which can increase cardiac workload.

Choice B reason: Providing a bedside commode reduces the effort required to go to the bathroom, thus reducing cardiac workload.

Choice C reason: Advocating for rest periods with no visitors can help reduce emotional stress and physical exertion, which can increase cardiac workload.

Choice D reason: A regular diet is not specifically an intervention to reduce cardiac workload and may not be appropriate immediately following a myocardial infarction.

Choice E reason: Ambulating four times a day is not recommended immediately following a myocardial infarction as it can increase cardiac workload.

Choice F reason: Maintaining bedrest can help reduce the workload on the heart by minimizing physical activity.

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The nurse reviews the lab test results of a patient who has heart failure (HF). Which test result would be most important for the nurse to report to the healthcare provider (HCP)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. Which of the following is an appropriate food choice for this client?

Correct Answer is D

Explanation

The nurse is caring for a male patient, age 54, who had a myocardial infarction 2 days ago. His wife, who is very talkative, has remained at his bedside. Which of these interventions should the nurse implement to reduce the workload of the heart? (Select all that apply.)

Correct Answer is ["A","B","C","F"]

Explanation

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