a nurse is providing teaching to a client who has a new diagnosis of heart failure which of the following instructions should the nurse include a nurse is providing teaching to a client who has a new diagnosis of heart failure which of the following instructions should the nurse include
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Nursing Elites

ATI RN

ATI RN Exit Exam 2023

1. A client with a new diagnosis of heart failure is receiving teaching from a nurse. Which of the following instructions should the nurse include?

Correct answer: B

Rationale: The correct answer is B. Weighing oneself daily is crucial in monitoring fluid retention, a key aspect in managing heart failure. This helps in detecting early signs of fluid buildup, prompting timely interventions. Choice A is incorrect as the recommended sodium intake for heart failure clients is usually lower, around 2-3 grams daily. Choice C is incorrect because excessive water intake can worsen fluid retention in heart failure. Choice D is incorrect as clients with heart failure should consult healthcare providers before significantly altering their physical activity levels.

2. After the family, which has the greatest influence on providing continuity between generations?

Correct answer: B

Rationale: Schools play a significant role in providing continuity between generations by imparting cultural values, social norms, and knowledge to children.

3. In a postmenopausal woman, what condition can be prevented by administering estradiol (Estraderm)?

Correct answer: C

Rationale: The correct answer is C: Osteoporosis. Estradiol, a form of estrogen, is used to prevent osteoporosis in postmenopausal women by maintaining bone density. Choice A, Endometriosis, is incorrect as estradiol is not used to prevent or treat this condition. Choice B, Amenorrhea, is not prevented by estradiol but rather may result from hormonal changes. Choice D, Uterine cancer, is not directly prevented by estradiol; in fact, long-term unopposed estrogen use can increase the risk of uterine cancer.

4. While caring for a client receiving Heparin therapy, which of the following laboratory tests should the nurse monitor to evaluate the effectiveness of the therapy?

Correct answer: C

Rationale: The nurse should monitor the aPTT (activated partial thromboplastin time) when caring for a client receiving Heparin therapy. The aPTT reflects the intrinsic pathway of the clotting cascade and is used to monitor the effectiveness of heparin, which primarily affects this pathway by potentiating antithrombin III. Monitoring the aPTT helps ensure that the client's blood is within the therapeutic range to prevent thrombus formation. Choices A, B, and D are incorrect. PT (Prothrombin Time) and INR (International Normalized Ratio) are used to monitor Warfarin therapy, not Heparin. Platelet count is important in assessing for thrombocytopenia but is not a specific indicator of Heparin therapy effectiveness.

5. Longitudinal research can identify common patterns as well as individual differences in development because the investigator __________.

Correct answer: C

Rationale: Longitudinal research involves tracking the performance of each person over time. By doing so, researchers can observe common patterns in development among a group of individuals and also identify individual differences in how each person progresses over time. This methodology allows researchers to gather data on the same individuals repeatedly, offering insights into how development unfolds over the lifespan. Choices A, B, and D are incorrect because longitudinal research focuses on observing individuals over time rather than studying groups at a single point, randomly assigning participants to treatments, or conducting quasi-experiments.

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