ATI - HTN/HF

A nurse is providing teaching about a heart healthy diet to a group of clients with hypertension . Which of the following statements by one of the clients indicates a need for further teaching ? " I may eat 10 ounces of lean protein each day ." " Fresh fruits make a good snack option . " " I will replace table salt with dried herbs . " " I may thicken gravies with cornstarch as I cook . "

" I may eat 10 ounces of lean protein each day ." Lean meats should be limited to 5 to 6 ounces per day . Salt should be/correct replaced with dried or fresh herbs Gravies can be a thickened with cornstarch/correct

A nurse is providing discharge instructions for a client who has congestive heart failure . Which of the following client statements indicates to the nurse that the teaching was effective ? -" I will read food labels and limit my sodium to 4 grams per day . " -" I should use naproxen to manage discomfort . " -" I plan to slow down if I am tired the day after exercising . " -" I will take my diuretic before sleep and drink fluids during the day . "

" I plan to slow down if I am tired the day after exercising . " -than 2 g of sodium per day . Excessive sodium intake increases fluid retention -A client who has heart failure should avoid the use of NSAIDs as these medications can cause sodium retention . The nurse should recommend the use of acetaminophen for the treatment of discomfort . slow down . —Clients who experience chest pain or dyspnea while exercising or experience fatigue the next day are probably advancing the activity too quickly and should -Diuretics are used in the treatment of heart failure to remove excess extracellular fluid from the body . take diuretics in the morning

A nurse is providing teaching about the Mediterranean diet to a client newly who has a new diagnosis of hypertension . Which of the following statements by the client indicates a need for further teaching ? " I will limit my intake of red meat to twice weekly . " " I can have dairy in moderate portions daily . " " I can have fish two times a week . " " I can drink wine in moderation . "

" I will limit my intake of red meat to twice weekly . " Follow in the Mediterranean diet red meat should be limited to two times monthly Client should have dairy and moderate portions daily to weekly And take a fish and seafood is at least two times per week Drinking wine is acceptable in moderation

A nurse is caring for a client who has congestive heart failure and is taking digoxin daily . The client refused breakfast and is complaining of nausea and weakness . Which of the following actions should the nurse take first ? Check the client's vital signs . Request a dietitian consult . Suggest that the client rests before eating the meal . Request an order for an antiemetic .

Check the client's vital signs . It is possible that the clients nausea is secondary to digoxin toxicity by obtaining vital signs. The nurse can assess for bradycardia, which is a symptom of digoxin toxicity. The nurse should withhold the medication and call the provider if clients heart rate is less than 60. While an anti-emetic might relieve nausea, this is not the first action to take

A nurse is establishing health promotion goals for a female client who smokes cigarettes , has hypertension , and has a BMI of 26. Which of the following goals should the nurse include ? -The client will list foods that are high in calcium , which should be avoided . -The client will walk for 30 min 5 days a week . -The client will increase calorie intake by 200 cal per day . -The client will replace cigarettes with smokeless tobacco products .

-The client will walk for 30 min 5 days a week .

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily . Available is digoxin PO 0.25 mg / tablet . How many tablets should the nurse administer per dose ? ___ tablet ( s )

0.5 tablets Desired/have = dose administered

A nurse in a cardiac care unit is caring for a client with acute right - sided heart failure . Which of the following findings should the nurse expect ? Decreased brain natriuretic peptide ( BNP ) . Elevated central venous pressure ( CVP ) . Increased pulmonary artery wedge pressure ( PAWP ) . Decreased specific gravity

Elevated central venous pressure ( CVP ) . CVP is a measurement of the pressure in the right atria or ventricle at the end of the diastole. Pulmonary pressure increases in left sided heart failure because of the increased pressure and volume of blood in the left ventricle . You're not a specific gravity, is increased in the client who has heart failure as a result of fluid retention by the body .

A nurse is caring for an older adult client who has left - sided heart failure . Which of the following assessment findings should the nurse expect ? Frothy sputum Dependent edema Nocturnal polyuria Jugular distention

Frothy sputum Reduced cardiac output and raised pulmonary venous pressure causes manifestations, such as hacking cough, frothy sputum, wheezing, fatigue, and weakness . Right sided heart failure causes edema to extremities and sacrum Right sided heart failure indicates nocturnal polyuria Right sided heart failure causes jugular distention

A nurse is caring for a client who has heart failure and is receiving IV furosemide . The nurse should monitor the client for which of the following electrolyte imbalances ? Hypernatremia Hyperuricemia Hypercalcemia Hyperchloremia

Hyperuricemia -furosemide for hyponatremia . -furosemide for hyperuricemia . The nurse should instruct the client to notify the provider for any tenderness or swelling of the joints . -furosemide for hypocalcemia . -furosemide for hypochloremia .

A nurse is providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide . Which of the following instructions should the nurse provide ? Weigh weekly to monitor therapeutic effect . Take the medication on an empty stomach . Take the medication early in the day . Muscle pain is an expected adverse effect .

Take the medication early in the day . Take early in the day to avoid nocturia Weigh to determine fluid loss Can be taken with food Muscle pain should be reported immediately