The nurse suspects that which condition associated with chronic heart failure is the cause of a patient's inability to sleep well due to frequent urination?

Fullness from ascites.

Hypoproteinemia.

Hypoperfusion to the brain.

Increased renal perfusion in the supine position.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Fullness from ascites is a symptom associated with conditions like liver cirrhosis, not directly related to chronic heart failure. Ascites is the accumulation of fluid in the abdominal cavity, causing a feeling of fullness and abdominal discomfort.

Choice B rationale:

Hypoproteinemia, a condition characterized by low levels of proteins in the blood, can lead to fluid retention and edema. However, it is not a direct cause of frequent urination. Frequent urination in this context is more likely related to increased fluid volume in the body, which can be caused by increased renal perfusion in the supine position due to fluid redistribution from the lower extremities to the kidneys.

Choice C rationale:

Hypoperfusion to the brain can lead to neurological symptoms, but it does not directly cause frequent urination. Frequent urination is often related to the kidneys' ability to filter excess fluid and excrete it as urine.

Choice D rationale:

Increased renal perfusion in the supine position can cause frequent urination, especially at night. When a person with chronic heart failure lies down, fluid that has accumulated in the lower extremities (edema) during the day is redistributed to the kidneys due to the change in body position. This increased renal perfusion results in an increased production of urine, leading to nocturia (frequent urination at night) and disrupting the patient's ability to sleep well. This symptom is characteristic of heart failure-related fluid overload and is an important clinical sign indicating worsening heart failure.

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Correct Answer is C

Explanation

Choice A rationale:

While leukemia treatment does have severe side effects, not all of them are permanent. It is essential for the patient to be aware of potential complications but also to understand that some side effects might be temporary and can be managed with appropriate care.

Choice B rationale:

Using the call light to ask for help when getting out of bed is essential for patients receiving chemotherapy, as their immune system might be compromised, making them prone to infections and injuries. However, this information is not specific to leukemia treatment but is a general safety measure for these patients.

Choice C rationale:

Patients undergoing chemotherapy for leukemia are at an increased risk of infections due to the suppression of the immune system. Preventive measures, such as good hygiene practices and early detection of signs of infection, are crucial in managing these patients. Educating the patient about infection prevention is essential for their safety during treatment.

Choice D rationale:

Feeling isolated can be a common emotional response to any chronic illness, including leukemia. However, it is not an unavoidable consequence, and providing emotional support and involving the patient in support groups can help mitigate these feelings. This statement does not provide essential information about managing leukemia treatment.

A. "I will take my iron supplement with a straw.” B. "I will take my iron supplement at bedtime.” C. "I will take my iron supplement along with meals.” D. "I will take my iron supplement along with orange juice.”

Correct Answer is C

Explanation

The correct answer is choice c. “I will take my iron supplement along with meals.”

Choice A rationale:

Taking iron supplements with a straw is recommended to prevent staining of the teeth, which is a common side effect of liquid iron supplements.

Choice B rationale:

Taking iron supplements at bedtime can be beneficial for some patients, especially if they experience gastrointestinal discomfort when taking iron during the day.

Choice C rationale:

Taking iron supplements with meals can decrease the absorption of iron. Iron is best absorbed on an empty stomach, although it can be taken with food if gastrointestinal upset occurs.

Choice D rationale:

Taking iron supplements with orange juice is recommended because vitamin C enhances the absorption of iron.

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The nurse suspects that which condition associated with chronic heart failure is the cause of a patient's inability to sleep well due to frequent urination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which information will the nurse include when teaching a patient who is receiving chemotherapy for leukemia?

Correct Answer is C

Explanation

The nurse is teaching a patient about the administration of liquid iron supplements. Which response by the patient indicates the need for additional teaching?

Correct Answer is C

Explanation

A female patient with chronic hypertension is admitted to the emergency department with a sudden rise in blood pressure (BP) Which question is the priority for the nurse to ask the patient?

The nurse notes that a patient has a smooth and shiny tongue surface.The nurse would attribute these findings to which condition?

Which role is attributed to the base in the acid-base balance?

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Which information would the nurse include when discussing pain due to chronic stable angina with the patient?

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