The nurse instructs a client with heart failure on restricting sodium in the diet. Which client statement indicates that teaching was ineffective "I can use as much salt substitute as I want."
Dietary Sodium Intake in Heart Failure:
- Excessive sodium intake is associated with fluid retention. Therefore, all HF management guidelines recommend sodium restriction.
- In 2005, the American College of Cardiology and the American Heart Association HF guidelines recommended 3000 to 4000 mg daily sodium intake and for patients with volume overload, restriction to 2000 mg/d. This recommendation was subsequently updated to moderate sodium restriction.
- The Heart Failure Society of America recommends 2000 to 3000 mg daily. Sodium intake and <2000 mg for patients with moderate to severe HF symptoms.
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Given what we know about uterine changes during ovulation, we can confirm that the most suggestive option to determine if the client is ovulating is the change in the cervical mucus.
During ovulation, many changes occur in the uterine in preparation for the possible fertilization of the egg and its subsequent implantations into the uterine wall. Of these changes, the most useful is the change to the mucus of the endometrium.
The endometrium is the outermost layer of the uterine wall, therefore, it is where the glands that will secrete hormones are located. During ovulation, the changes to this layer are clear and can provide unmistakable evidence of ovulation. One such evidence is the secretion of hormones specific to this stage in the menstrual cycle.
<em><u>This was answered based on the complete question found online which states:</u></em>
<em>A client is being prepared for artificial insemination. Which finding is the most suggestive to determine if the client is ovulating?
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<em>A) slight weight gain
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<em>B) change in the cervical mucus
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<em>C) abdominal cramps
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<em>D) fall in body temperature</em>
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