Oregon Certified Nursing Assistant State Practice Exam

Which condition commonly leads to a resident being placed on a fluid-restricted diet?

1. The resident has heart disease

2. The resident has urinary incontinence

3. The resident has constipation

4. The resident has pressure injuries

The correct answer is: The resident has heart disease

A resident being placed on a fluid-restricted diet is commonly associated with heart disease due to the body's altered ability to manage fluid balance. In heart disease, particularly congestive heart failure, the heart struggles to pump blood effectively, which can lead to fluid retention in the body. When excess fluid accumulates, it can worsen symptoms such as swelling, weight gain, and shortness of breath. To manage these symptoms and prevent further complications, healthcare providers often implement a fluid-restricted diet to help control the amount of fluid the resident consumes, thereby assisting in maintaining a more stable condition. In contrast, the other conditions listed do not typically necessitate a fluid-restricted diet. Urinary incontinence may require management strategies, but does not inherently involve fluid restriction. Constipation can often be treated with an increased fluid intake and dietary modifications. Pressure injuries require appropriate nutrition and hydration for healing, meaning restricting fluids could be detrimental to recovery.