NCLEX select-all-that-apply (SATA) practice question about nursing interventions for congestive heart failure.
On the NCLEX exam, it is inevitable you will receive select-all-that-apply type questions. This NCLEX SATA practice question will test your ability on how to analyze a scenario for a patient with heart failure in regards to developing nursing interventions for the nursing care plan.
This video is part of a weekly NCLEX review series where I will be going over NCLEX-style questions with you. I will be helping you analyze and breakdown each question, and walk you through how to select the correct option.
NCLEX questions require critical thinking and you must know how to use your nursing knowledge to gather the facts and analyze what the question is asking.
For this specific SATA NCLEX practice question, you must know the pathophysiology of heart failure and the basics about the medication Furosemide (Lasix).
NCLEX Practice Select-All-That-Apply (SATA) Question:
You're developing a nursing care plan for a patient who has a diagnosis of congestive heart failure exacerbation. The patient has bilateral 2+ pitting edema in the lower extremities, extreme dyspnea on exertion, and crackles in the right and left lower bases of the lungs. The patient is prescribed Furosemide (Lasix) 40 mg IV twice a day. Which of the following options below will you include as nursing interventions for this patient? SELECT-ALL-THAT-APPLY:
A. Keep patient's legs below heart level daily.
B. Weigh patient every morning on standing scale.
C. Patient will verbalize 3 health benefits to following a low sodium diet prior to discharge.
D. Maintain a daily fluid restriction of no more than 4 L of fluid per day.
E. Educate the patient daily about the importance of asking for help before ambulating.
F. Strictly monitor intake and output daily.
G. Monitor potassium levels daily.
Watch the video for the correct answer and rationale.
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