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

ATI RN

ATI RN Test Bank

physical assessment test bank Questions

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

The nurse is assessing a 72-year-old client with shortness of breath and fatigue. Which condition is most likely based on the client's history?

A. Asthma B. Chronic obstructive pulmonary disease (COPD) C. Pneumonia D. Acute bronchitis

Correct Answer: B

Rationale: COPD is the most likely condition for an older adult presenting with shortness of breath and fatigue, especially if they have a history of smoking.

Question 3 of 5

What two vitamins and minerals should be included in oral multivitamins in women?

A. Folic Acid and Vitamin C B. Iron and Vitamin B12 C. Vitamin D and Iron D. Folic Acid and Iron

Correct Answer: D

Rationale: Folic acid and iron are essential, particularly for women of childbearing age.

Question 4 of 5

Ms. Greta Thornberg is an 88-year-old woman with squamous cell carcinoma. What should you do after her stroke, considering her POLST?

A. Inform her healthcare agent of the POLST and notify her that it cannot be changed. B. Inform her healthcare agent of the POLST and notify her that the change of condition requires that the POLST be reviewed. C. Ask her healthcare agent to locate her Last Will and Testament. D. Since she has a signed POLST, there is no reason to contact the healthcare agent.

Correct Answer: B

Rationale: A change in the patient�s condition, such as a stroke, requires a review of the POLST with the healthcare agent.

Question 5 of 5

The typical presentation of severe acute aortic regurgitation (AR) includes sudden severe shortness of breath, rapidly developing heart failure, and:

A. Dry cough B. Chest pain C. Decreased blood pressure D. Systolic murmur

Correct Answer: B

Rationale: Chest pain is a common symptom of acute aortic regurgitation due to increased left ventricular pressure.

Similar Questions

The typical presentation of severe acute aortic regurgitation (AR) includes sudden severe shortness of breath, rapidly developing heart failure, and:

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