Oregon Certified Nursing Assistant State Practice Exam

Which of the following statements about congestive heart failure (CHF) is true?

1. Restraints may take medication that makes them urinate more often

2. Residents will usually have a force fluids order directing them to drink more fluids

3. The NA will administer nitroglycerin to relieve painful episodes

4. Residents with CHF will generally need to eat a diet high in sodium to eliminate swelling

The correct answer is: Restraints may take medication that makes them urinate more often

In the context of congestive heart failure (CHF), the correct statement involves understanding the management of the condition, particularly the effects of medications and the need to monitor fluid intake. Individuals with CHF often take diuretics, which are medications that help the body eliminate excess fluid and sodium through urination. This would mean that while these individuals might be urinating more often due to their medications, it does not imply that restraints may take medication. Rather, it reflects the need for healthcare providers, including nursing assistants, to assist and monitor patients with frequent bathroom needs while maintaining their dignity and safety. Patients with CHF typically have restrictions on fluid intake and are often directed to consume a low-sodium diet to help manage symptoms such as swelling (edema) and shortness of breath. This emphasizes the importance of understanding dietary guidelines for CHF patients, where sodium reduction is crucial for preventing fluid retention. The administration of nitroglycerin is typically performed by licensed nurses or physicians, not nursing assistants, as it involves assessing the patient's condition and understanding the medication's effects. Therefore, the correct choice highlights a fundamental aspect of CHF management regarding medication effects on urination, rather than reinforcing misconceptions about fluid intake or sodium consumption.