The nurse is caring for a patient with congestive heart failure (CHF). Which intervention should the nurse include in the plan of care?
a. Encourage intake of canned soups.
b. Place the patient in a side-lying position to prevent venous pooling.
c. Encourage large meals for increased nu-tritional impact.
d. Alternate rest with activity.
D
Alternating rest with activity preserves the patient's energy. Canned soups are high in sodium, and CHF patients are often placed on restricted-sodium diets. Patients are more comfortable in semi-Fowler position to ease breathing and should eat small meals that are easy to chew and use less energy.
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A toddler has had recurrent respiratory infections. The mother of the child expresses concern that her infant seems to be at increased risk for complications from respiratory infections in comparison with her older children
The best response from the nurse would be: 1. "You are incorrect in your assessment." 2. "The younger child's airways are smaller and more easily occluded." 3. "Air passages are more likely to become blocked with mucus because younger children make more mucus than older children." 4. "Toddlers do not breathe as deeply as do older children."
Fluid resuscitation is an important component of managing the trauma patient. Which of the following statements are true regarding the care of a trauma patient? (Select all that apply.)
a. 5% Dextrose is recommended for rapid crystalloid infusion. b. IV fluids may need to be warmed to prevent hypothermia. c. Massive transfusions should be avoided to improve patient outcomes. d. Only fully cross-matched blood products are administered.
The client with epilepsy asks the nurse if he will have to take antispasmodic medication for the rest of his life. The nurse's most helpful response would be
a. "Maybe. You might be able to stop medication if you are seizure free for 2 years." b. "No. After a stable pattern is recognized, you can take it sporadically." c. "Yes. Epilepsy requires compliance to a regimen of lifelong medication." d. "Yes. Stopping a med after you take it a while makes seizure activity worse."
Which drug used to treat diabetes by increasing incretins and amylin is taken orally?
a. Exenatide (Byetta) b. Liraglutide (Victoza) c. Pramlintide (Symlin) d. Sitagliptin (Januvia)