295 Test , Heart failure

When a client with a history of heart failure on daily weights has a 4-pound weight gain since the previous day, which action will the nurse take NEXT? a. Preform a head-to-toe assessment b. place the client on fluid restriction c. discuss a restricted sodium diet with the client. d. document the findings in the health care record.

a. Preform a head-to-toe assessment

When a client with heart failure is seen in the clinic with new onset ankle edema, the nurse would question the client about which lifestyle factors that may have contributed to the ankle swelling? a. intake of salty food. b. dietary fat intake c. medication compliance. d. family stresses e. recent travel

a. intake of salty food. c. medication compliance. e. recent travel

Which assessment findings are consistent with a client diagnosis of right-sided heart failure? a. collapsed neck veins. b. distended abdomen. c. dependent edema d. decreased appetite e. cool extremities

b. distended abdomen. c. dependent edema d. decreased appetite

Which topics would the nurse include in teaching for a client with a new diagnosis of hypertension? SELECT ALL THAT APPLY a. reason for daily low-dose aspirin b. use of a home blood pressure cuff c. adverse effects of tobacco on blood pressure d. avoidance of any alcohol consumption e. benefits of moderate daily exercise

b. use of a home blood pressure cuff c. adverse effects of tobacco on blood pressure e. benefits of moderate daily exercise

How can the nurse best describe heart failure to a client? a. a cardiac condition caused by inadequate circulating blood volume. b. an acute state in which the pulmonary circulation pressure decreases. c. an inability of the heart to pump blood in proportion to metabolic needs. d. a chronic state in which the systolic blood pressure drops below 90 mmHg

c. an inability of the heart to pump blood in proportion to metabolic needs.

When an obese client receives a diagnosis of high blood pressure, which topic would be the most important to include in client teaching? a. causes of hypertension b. symptoms of hypertension c. effect of weight loss in hypertension d. effect of lowering alcohol intake in hypertension.

c. effect of weight loss in hypertension

Which lab is most important to report to the health care provider? a. blood glucose 98 b. hemoglobin 14.1 c. potassium 3.0 d. WBC 9200

c. potassium 3.0

After obtaining client blood pressure of 172/104 mmHg and 164/98 mmHg during a blood pressure screening, which action would the nurse take NEXT? a. provide health teaching about low-sodium diet b. call the paramedics for transport to the hospital c. Suggest ways to decrease the client's stress level d. refer the client to their primary health care provider.

d. refer the client to their primary health care provider.

What is the purpose of a low-sodium diet in clients with heart failure? a. Body weight control b. decreased fluid retention c. lowering of blood pressure d. prevention of hypernatremia

decreased fluid retention.