NCLEX-PN

Category - Basic Care

A client with congestive heart failure is admitted to the facility after complaining of shortness of breath. The nurse caring for the client should expect which order when the client gains 2 pounds in one day?
  1. Offer foods low in potassium
  2. Restrict fluid intake
  3. Limit caloric intake
  4. Increase intake of foods high in sodium
Explanation
Answer: B - A client who gained more than 2 pounds in 24 hours is likely suffering from fluid retention, so the nurse should prepare to restrict the fluid intake of client, as ordered. Foods high in sodium must be avoided as it can further retain fluids. The other options are not appropriate.
Was this helpful? Upvote!
Login to contribute your own answer or details

Top questions

Related questions

Most popular on PracticeQuiz