The client has a history of cardiac disease and receives ...

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The client has a history of cardiac disease and receives furosemide (Lasix) and digoxin (Lanoxin).
 
  The nurse determines that education about dietary needs with these medications has been effective when the client makes which selection for lunch?
  1. Cottage-cheese-and-peach salad and blueberry pie
  2. Baked fish, sweet potatoes, and banana pudding
  3. Green bean soup, whole-wheat bread, and an apple
  4. Hamburger, french fries, and chocolate chip cookies

Question 2

A client asks about the difference between the New York Heart Association (NYHA) and American Heart Association/American College of Cardiologists (AHA/ACC) heart failure classification models.
 
  Which response by the nurse is the most appropriate?
  1. The NYHA classifications omit asymptomatic clients.
  2. The AHA/ACC model includes extra classifications for the most severe cases.'
  3. There is no true difference between the classifications.
  4. The AHA/ACC classifications include clients who do not have, but are at risk for, heart failure

[ong527]

Answer to Question 1

Correct Answer: 2
Rationale 1: Cottage-cheese-and-peach salad and blueberry pie are not significant sources of the potassium needed to help prevent digoxin toxicity.
Rationale 2: Fish, sweet potatoes, and bananas are high in potassium, which will help prevent digoxin toxicity.
Rationale 3: Green bean soup, whole-wheat bread, and an apple are not significant sources of the potassium needed to help prevent digoxin toxicity.
Rationale 4: The hamburger is high in potassium, but the french fries are not appropriate for a cardiac client.
Global Rationale: Fish, sweet potatoes, and bananas are high in potassium, which will help prevent digoxin toxicity. Cottage-cheese-and-peach salad and blueberry pie are not significant sources of the potassium needed to help prevent digoxin toxicity. Green bean soup, whole-wheat bread, and an apple are not significant sources of the potassium needed to help prevent digoxin toxicity. The hamburger is high in potassium, but the french fries are not appropriate for a cardiac client.

Answer to Question 2

Correct Answer: 4
Rationale 1: NYHA stage 1 is for clients with no symptoms.
Rationale 2: The AHA/ACC model does have an extra classification, but it is for clients at risk for heart failure, not severe cases.
Rationale 3: There is a difference between the two classifications.
Rationale 4: The AHA/ACC model includes an additional classification for clients who do not have heart failure but are susceptible.
Global Rationale: The AHA/ACC model includes an additional classification for clients who do not have heart failure but are susceptible. NYHA stage 1 is for clients with no symptoms. The AHA/ACC model does have an extra classification, but it is for clients at risk for heart failure, not severe cases. There is a difference between the two classifications.

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Both answers were spot on, thank you once again

[ong527]

Great! Please up vote