An older client with heart failure presents with weight gain and edema. Which nursing intervention should be prioritized?- Nurselytic

Question 1 of 5

An older client with heart failure presents with weight gain and edema. Which nursing intervention should be prioritized?

A. Monitor the client’s blood pressure. B. Encourage fluid intake. C. Assess the client’s respiratory status. D. Weigh the client daily.

Correct Answer: D

Rationale: Daily weight monitoring helps assess fluid retention, a critical component of managing heart failure.

Question 2 of 5

What aspects of sleep hygiene may make your facility more conducive for nighttime sleep?

A. Bright lights to illuminate pathways to bathrooms. B. Judicious restraint use to ensure patients remain in bed overnight. C. Allow patients with a greater degree of dementia an opportunity for an afternoon nap to improve their cognitive status. D. Neutralizing antiseptic smells, minimize movement of equipment through halls, maintain quiet hours where staff can speak in areas away from residents, avoid using overhead announcement systems.

Correct Answer: D

Rationale: Improving sleep hygiene by reducing environmental disturbances and creating a calm, quiet environment helps improve sleep quality for residents.

Question 3 of 5

Patients with psoriasis frequently have

A. Pruritus, positive auspitz sign, and pitted nails B. Pruritus, pitted nails and satellite lesions C. Pitted nails and plaques D. Dermatomal rash and satellite lesions

Correct Answer: A

Rationale: Psoriasis often presents with pruritus, positive Auspitz sign, and pitted nails.

Question 4 of 5

What common clinical finding is present in a patient who has croup?

A. Barking cough B. Sudden onset of symptoms C. Nighttime symptoms D. Shortness of breath

Correct Answer: A

Rationale: Barking cough is characteristic of croup, often described as sounding like a seal.

Question 5 of 5

An 82-year-old man, Mr. A, complains of worsening nocturia, occurring four times per night. His other lower urinary tract symptoms are slow stream, occasional urgency, and urgency-related leakage once weekly. Medical problems include poorly controlled hypertension, diastolic heart failure, hyperlipidemia, osteoarthritis, and prediabetes. His medications include lisinopril 20 mg daily, metoprolol succinate 75 mg daily, atorvastatin 10 mg daily, metformin 500 mg twice daily, hydrocodone-acetaminophen as needed, and aspirin 81 mg daily. Amlodipine 5 mg daily was recently added by his cardiologist. On review of systems, Mr. A complains that nocturia is causing daytime fatigue, and he is more constipated. Physical examination is notable for blood pressure 162/83 mmHg, heart rate 60 beats per minute, clear lungs, soft abdomen, enlarged prostate, and 21 pre-tibial edema.

A. Stop hydrocodone-acetaminophen and add naproxen. B. Stop amlodipine and increase lisinopril. C. Add afternoon furosemide. D. Add tamsulosin.

Correct Answer: D

Rationale: Tamsulosin is an alpha-1 blocker that helps relieve urinary symptoms associated with BPH.