When planning care for a client admitted with a cardiac ...

[WhattoUnderstand]

When planning care for a client admitted with a cardiac dysrhythmia, the nurse should include which of the following?
 
  1. Encourage bed rest
   2. Monitor serum electrolyte levels
   3. Restrict fluids
   4. Instruct in a low-fat diet

Question 2

A client admitted with a cardiac dysrhythmia tells the nurse that he tires easily and is frustrated since he has not been able to do his normal daily activities. The nursing diagnosis to address this client's issue would be:
 
  1. Activity Intolerance.
   2. Excess Fluid Volume.
   3. Depression.
   4. Situational Low Self-Esteem.

[blazinlyss]

Answer to Question 1

2. Monitor serum electrolytes

Rationale:
The nurse should monitor serum electrolyte levels because electrolyte imbalances affect cardiac depolarization and repolarization and may cause dysrhythmias. More information is needed before determining whether the client needs to be on bed rest. There is no evidence to suggest the client needs to have fluids restricted. There is no evidence to suggest the client needs instruction on a low-fat diet.

Answer to Question 2

1. Activity Intolerance.

Rationale:
The client is experiencing fatigue and frustration with the inability to perform normal daily activities because of the fatigue. The nursing diagnosis to address this client's issue would be activity intolerance. There is no evidence that the client is experiencing excess fluid volume. The client may or may not be experiencing depression. The client may develop situational low self-esteem if the diagnosis of activity intolerance is not addressed.

[WhattoUnderstand]

Gracias!

[lindahyatt42]

Thanks for the timely response, appreciate it