See if you can make heads or tails of this one.....
An elderly client arrives in the clinical complaining of dyspnea, weigh gain, chest pain, and increasing edema of the lower extremities. The client's BP is elevated. The nurse discovers the client has a history of heart failure. The nurse questions the client regarding which of the following that may best help with determining why the client is currently having health problems?
A. "Do you have grandchildren that you babysit?"
B. Are you married?
C. Have you been out of the country lately?
D. Have you attended any recent family or social gathering?
Now, I've read that when you have 3 similar answer choices and one that seems out in left field, the one in left field is usually the correct answer. I'm still just stumped and was needing some rationale I guess.
yup, and we wonder why we have grads who can not tell the difference between their hindmost parts and the hinge joint in their bilateral upper extremities!!!!!
Specializes in LTC, CPR instructor, First aid instructor..
Although I did guess D, I bet a lot of people got that one wrong then. I agree with Vicky. That is definitely a horrible question, and one designed to get wrong.
This actually is a good question. The answer is D and the reasoning is that people that have CHF should be closely watching their sodium intake. A normal person eats a 4 gm sodium diet. Someone with CHF should eat 2 gms a day. A college student probably eats 6 gms or more a day. A chronic CHFer will take a diuretic and closely watch their sodium intake. All it takes is a Thanksgiving dinner with loads of ham and all the processed fixins, Christmas dinner, a birthday party, cookout, etc., to push the sodium intake over the edge. Sodium retains water. Sprinkle some on your counter or eat a bag of chips yourself and see if it aint so.
As nurses, you should be aware of the sodium content in foods. Read labels. Processed meats, canned foods, snacks.... all a big no-no. A 'Holiday Heart' is similar... binging on drugs, alcholol, or sodium, can throw a monkey wrench into the works. I've been a telemetry nurse for 17 years. We gear up for after-holiday admissions... SOB and CHFers being the big ones. The quick fix is easy.... IV lasix. The long term management requires sodium reduction and PO diuretics. If you think a little pickle or slice of pepperoni pizza won't hurt, think again.
This actually is a good question. The answer is D and the reasoning is that people that have CHF should be closely watching their sodium intake. A normal person eats a 4 gm sodium diet. Someone with CHF should eat 2 gms a day. A college student probably eats 6 gms or more a day. A chronic CHFer will take a diuretic and closely watch their sodium intake. All it takes is a Thanksgiving dinner with loads of ham and all the processed fixins, Christmas dinner, a birthday party, cookout, etc., to push the sodium intake over the edge. Sodium retains water. Sprinkle some on your counter or eat a bag of chips yourself and see if it aint so.
As nurses, you should be aware of the sodium content in foods. Read labels. Processed meats, canned foods, snacks.... all a big no-no. A 'Holiday Heart' is similar... binging on drugs, alcholol, or sodium, can throw a monkey wrench into the works. I've been a telemetry nurse for 17 years. We gear up for after-holiday admissions... SOB and CHFers being the big ones. The quick fix is easy.... IV lasix. The long term management requires sodium reduction and PO diuretics. If you think a little pickle or slice of pepperoni pizza won't hurt, think again.
that is what most exp nurses picked, but per instructor the answer was B, 'are you married'....
This question makes my head hurt. I would have chosen D. But pretty much because that's what I usually choose when no sense can be made out of the other choices.
If i remember correctly, that question was asked/presented to my LPN class ( Third party online tests - ATI) and the correct choice was " Are you married", " C" .
The correct answer IS D. We originally heard from a GTA that the answer was B but after talking to the teacher and another really good clinical teacher the answer is D. The rationale is that a family gathering usually means eating higher fat foods with more sodium.
The correct answer IS D. We originally heard from a GTA that the answer was B but after talking to the teacher and another really good clinical teacher the answer is D. The rationale is that a family gathering usually means eating higher fat foods with more sodium.
VickyRN, MSN, DNP, RN
49 Articles; 5,349 Posts
That is a horrible question.