The nurse is teaching a 69 year old female with congestive heart failure about self-management of her disease. Which of the following would be considered appropriate to teach this patient?
a. maintain healthy weight, limit sodium intake, exercise regularly, take meds as ordered
b. lose 20 pounds, weigh daily at home, report weight gain of more than 1 pound to the physician
c. see the doctor weekly, take meds as ordered, limit sodium intake
d. keep blood pressure at 160/90, eat a diet low in fats, exercise twice per week
A
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Which of the following procedures must the nurse perform in the case of symptoms of hemorrhage and significant blood loss in a client?
A) Place the client in supine position. B) Elevate the extremities above the heart level. C) Elevate the client's head as much as possible. D) Notify the physician.
What does a birth plan help the parents accomplish?
a. Avoidance of an episiotomy b. Determining the outcome of the birth c. Assuming complete control of the situation d. Taking an active part in planning the birth experience
A burn client experiences excessive fluid in the interstitial spaces causing edema. Because the fluid accumulation impairs peripheral circulation, the nurse assesses the client for which of the following complications?
A) increase in cardiac output B) tissue necrosis C) increased diuresis D) impaired mobility
Several complications can occur when a child receives a blood transfusion. An immediate sign or symptom of an air embolus is:
a. Chills and shaking. c. Irregular heart rate. b. Nausea and vomiting. d. Sudden difficulty in breathing.