Nursing Elites

1. The client on spironolactone (Aldactone) should avoid which type of food?

• A. Foods high in potassium
• B. Foods high in sodium
• C. Foods high in calcium
• D. Foods high in chloride

Correct answer: A

Rationale: The correct answer is A: Foods high in potassium. Spironolactone is a potassium-sparing diuretic, meaning it helps the body retain potassium and excrete sodium. Therefore, clients on spironolactone should avoid foods high in potassium to prevent hyperkalemia, which is an elevated level of potassium in the blood. Choices B, C, and D are incorrect because spironolactone specifically affects potassium levels, not sodium, calcium, or chloride.

2. What structure separates the left and right sides of the heart?

• A. Interventricular septum
• B. Endocardium
• C. Epicardium
• D. Pericardium

Correct answer: A

Rationale: The interventricular septum is the correct answer as it is the wall that separates the left and right sides of the heart, ensuring the oxygenated and deoxygenated blood do not mix. The endocardium is the inner lining of the heart chambers, the epicardium is the outermost layer of the heart wall, and the pericardium is the sac that surrounds the heart, providing protection and anchoring the heart in place. Therefore, choices B, C, and D are incorrect in the context of separating the left and right sides of the heart.

3. This heart condition is characterized by decreased cardiac output and tissue perfusion, which can lead to organ failure.

• A. Cardiogenic shock
• B. Myocardial infarction
• C. Endocarditis
• D. Pericarditis

Correct answer: A

Rationale: The correct answer is A: Cardiogenic shock. Cardiogenic shock is a severe condition characterized by the heart's inability to pump enough blood, leading to decreased cardiac output and tissue perfusion, which can result in organ failure. Choice B, Myocardial infarction, specifically refers to a blockage of blood flow to the heart muscle. Choices C and D, Endocarditis and Pericarditis, do not directly involve decreased cardiac output leading to organ failure, making them incorrect in the context of the symptoms described in the question.

4. What procedure involves using a catheter to create a small scar in the heart tissue to block abnormal electrical signals and restore normal heart rhythm?

• A. Catheter ablation
• B. Angioplasty
• C. Stent placement
• D. Valve replacement

Correct answer: A

Rationale: Catheter ablation is the correct answer. During catheter ablation, a catheter is used to create a small scar in the heart tissue to block abnormal electrical signals, thereby restoring a normal heart rhythm. Choices B, C, and D are incorrect because angioplasty is a procedure to widen narrowed or obstructed arteries, stent placement involves inserting a mesh tube to support a weak artery, and valve replacement is the surgical procedure of replacing a heart valve, none of which match the description provided in the question.

5. The client is being taught about the use of warfarin. What is the most important dietary instruction?

• A. Avoid foods high in vitamin K.
• B. Increase the intake of vitamin K-rich foods.
• C. Avoid foods high in protein.
• D. Increase the intake of foods high in calcium.

Correct answer: A

Rationale: The correct answer is A: Avoid foods high in vitamin K. Warfarin is a medication that works by decreasing the activity of vitamin K in the body to prevent blood clotting. Therefore, consuming foods high in vitamin K like green leafy vegetables can interfere with the medication's effectiveness. Choices B, C, and D are incorrect. Increasing the intake of vitamin K-rich foods would counteract the effects of warfarin. Avoiding foods high in protein or increasing the intake of foods high in calcium are not specifically related to the use of warfarin.

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