When teaching a patient with heart failure on a 2000-mg sodium diet. Which foods should the nurse recommend limiting?
- A. Chicken
- B. Fresh spinach
- C. Eggs
- D. Milk
Correct Answer: D
Rationale: The correct answer is D: Milk. Milk is a high sodium food and can contribute significantly to a patient's daily sodium intake. For a patient on a 2000-mg sodium diet, it is crucial to limit high sodium foods like milk to prevent fluid retention and worsening of heart failure symptoms. Other choices (A, B, C) are lower in sodium compared to milk. Chicken, fresh spinach, and eggs are generally good protein sources with lower sodium content and can be included in moderation in a 2000-mg sodium diet for a heart failure patient.
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What is the best action for the nurse to do?
- A. a. Leave the patient alone to rest in a quiet, calm environment.
- B. b. Stay with the patient and encourage slow, pursed lip breathing.
- C. c. Reassure the patient that the attack can be controlled with treatment.
- D. Let the patient know that frequent monitoring is being done using measurement of vital signs and SpO. 2
Correct Answer: B
Rationale: The best action for the nurse to do is to stay with the patient and encourage slow, pursed lip breathing. This helps the patient focus on their breathing and can help alleviate the asthma attack symptoms.
Chronic Obstructive Pulmonary Disease (COPD) includes
- A. Emphysema
- B. Bronchitis
- C. Asthma
- D. All these
Correct Answer: D
Rationale: The correct answer is D because Chronic Obstructive Pulmonary Disease (COPD) is an umbrella term that encompasses both emphysema and bronchitis. Emphysema is characterized by damage to the air sacs in the lungs, while bronchitis involves inflammation of the bronchial tubes. Asthma, on the other hand, is a separate condition characterized by reversible airway obstruction. Therefore, choices A, B, and C are incorrect, as only emphysema and bronchitis fall under the category of COPD.
What does a nurse assess postoperatively in a client with a nasal fracture?
- A. Allergic reaction
- B. Airway obstruction
- C. Extreme sense of smell
- D. Stridor
Correct Answer: B
Rationale: The correct answer is B. Airway obstruction is a critical concern after a nasal fracture due to potential swelling or displacement of bone fragments. A (allergic reaction) is unrelated. C (extreme sense of smell) is not a concern postoperatively. D (stridor) indicates severe airway compromise but is less common in nasal fractures.
A nurse is teaching a client about possible complications and hazards of home oxygen therapy. About which complications doesn't the nurse plan to teach the client?
- A. Absorptive atelectasis
- B. Combustion
- C. Dried mucous membranes
- D. Alveolar recruitment
Correct Answer: D
Rationale: The correct answer is D - Alveolar recruitment. This is because alveolar recruitment is actually a benefit of home oxygen therapy, not a complication. It helps improve oxygenation by opening up collapsed alveoli.
A - Absorptive atelectasis is a potential complication where nitrogen is absorbed from the alveoli leading to collapse. B - Combustion is a hazard due to oxygen's flammability. C - Dried mucous membranes is a common complication of oxygen therapy due to the drying effect of oxygen.
What keeps alveoli from collapsing?
- A. Carina
- B. Surfactant
- C. Empyema
- D. Thoracic cage
Correct Answer: B
Rationale: Surfactant is a substance that prevents the collapse of alveoli by reducing surface tension, allowing them to remain open and functional during the breathing process.