In planning the care for a client diagnosed with heart failure, which of the following would be an appropriate goal?
1. Reduce myocardial contractility.
2. Increase cardiac workload.
3. Decrease ejection fraction.
4. Increase activity levels.
4
An increase in activity levels would be an appropriate goal for the client diagnosed with heart failure. The other options would be a decrease in ability, function, or management of the heart failure patient.
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The nurse is caring for a client who has recently received a permanent colostomy. The client will be going home in several days and requires discharge teaching. What should the nurse do when organizing the teaching experience?
A) Ask the client to tell the nurse what is known about caring for the colostomy. B) Make sure the client's spouse is present before the teaching session begins. C) Start from the beginning and proceed through all steps required to perform colostomy care. D) Break the information into small sessions to enhance learning.
Morphine sulfate has been prescribed for a client experiencing acute pain Which of the following instructions should be included in the teaching provided by the nurse?
A) Begin taking a bulking agent. B) Reduce water intake. C) If constipation occurs, contact your physician to obtain a stool softener. D) Increase intake of fresh fruits.
The nurse caring for a child in skeletal traction should question which physician's orders? Select all that apply
a. Give Tylenol as necessary for pain. b. Release traction every 12 hours. c. Elevate the foot of the bed. d. Perform neurovascular checks every 1 to 2 hours for the first 24 hours.
The rationale for using beta blocker therapy in treating a patient with HF is to:
a. increase myocardial contractility b. reduce the effects of circulating catecholamines c. relieve concomitant angina d. stabilize cardiac rhythm