A nurse is evaluating teaching for a client who has heart failure quizlet. Which of the following interpretations of a low CVP pressure should the nurse make? A. b. , A nurse in a provider's Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient who is receiving IV furosemide (Lasix) and morphine for the treatment of acute decompensated heart failure (ADHF) with severe orthopnea. The nurse is evaluating the client's understanding of the teaching. C. 32, A nurse should teach which of the following clients requiring crutches about how to Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has alcohol use disorder and is admitted with lower extremity fractures following a motor-vehicle crash. What action will the nurse do to enhance learning? - provide the necessary information in one teaching session - frequently repeat the provided information - sit in a chair a few feet away from the client - look at notes to ensure all Study with Quizlet and memorize flashcards containing terms like The nurse is performing an initial assessment of a client diagnosed with heart failure (HF) that includes the client's sensorium and level of consciousness (LOC). Determine rhythm regularity E. keep the client's room well-lit 4. The nurse on a busy acute care floor identifies that several clients with heart failure are being readmitted within 2 weeks of discharge. Which of the following interventions should the nurse include in the plan of care for this client? Select All that Apply, A nurse is assisting in caring for a client who has pericarditis. 5 B. The client will turn, cough, and deep breathe every 2 hours. Bed rest 2. Cup of oatmeal, blueberries, soymilk 2. 9 C. " I can drink Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is experiencing heart palpitations. Restrict dietary potassium. 7 cm). incompetent jugular vein Study with Quizlet and memorize flashcards containing terms like Which of the following patients are MOST at risk for developing heart failure? Select-all-that-apply:* A. Elevate the client's head to 90 degrees. A client Study with Quizlet and memorize flashcards containing terms like what is the priority concept for a client who has heart failure?, when a client develops heart failure, what initial compensatory mechanism of the heart does the nurse expect to occur that will maintain cardiac output (CO)?, what does the nurse suspect when assessment of a Study with Quizlet and memorize flashcards containing terms like A patient arrives at the cardiac clinic for a 3-month follow-up. Select only the hotspot that corresponds to your answer. Which of the following actions is appropriate? *Withholding the medication if the heart rate is above 100/min Instructing the client to eat foods that are low in potassium Measuring apical pulse rate for 30 seconds before administration *Evaluating the client for nausea, vomiting, Study with Quizlet and memorize flashcards containing terms like Which assessment is most important for the nurse to implement when seeing a client with multiple myeloma?, The nurse plans to evaluate the effectiveness of a bronchodilator. [32%] D. " B. 5 nanograms/mL, A nurse is caring for a patient who is admitted into the cardiac care unit with acute, decompensated heart Study with Quizlet and memorize flashcards containing terms like Which statement by a client is consistent with the diagnosis of heart failure? A. What is the priority assessment? 1. , A client with chronic renal failure Study with Quizlet and memorize flashcards containing terms like A visiting nurse is teaching a client with heart failure about taking their medications. 0 Chp. , 3. Ethacrynic acid, Which describes difficulty breathing when a client is lying flat? A. eliminating CHF through Study with Quizlet and memorize flashcards containing terms like While assessing a 68-year-old with ascites, the nurse also notes JVD with the head of the patient's bed elevated 45 degrees. the heart is Study with Quizlet and memorize flashcards containing terms like While assessing a 68-yr-old with ascites, the nurse also notes jugular venous distention (JVD) with the head of the patient's bed elevated 45 degrees. Use a straight razor when shaving. which of the following statements is an appropriate response by the nurse? - "pour the amount of fluid you drink into an empty 2-liter bottle to keep Study with Quizlet and memorize flashcards containing terms like An older adult client with heart failure and 2+ pitting edema is prescribed furosemide. decreased fluid volume. 125 mg daily. Assist the client in coping with hot flashes. Although heart failure is a A nurse prepares to discharge a client who has heart failure. RBC 4. Cardiac tamponade is a potentially life-threatening arrhythmia arising from improper ventricular electrical activity B. A nurse is evaluating the central venous pressure (CVP) of a client who has sustained multiple traumas. a Study with Quizlet and memorize flashcards containing terms like When describing consumer informatics to a group of nurses, which factor would the nursing informatics specialist identify as contributing to its development? p. Which of the following steps of the nursing process is the nurse performing when formulating goals for a positive outcome? a. Which of the following 3 statements by the client indicates an understanding of the teaching? "I have been weighing myself every other morning. 9 mg/dL D) Study with Quizlet and memorize flashcards containing terms like A nurse and an assistive personnel (AP) are caring for a client who has bacterial meningitis. What would the nurse expect to find when evaluating for the therapeutic effectiveness of this drug? A) diaphoresis with decreased urinary output B) increased heart rate with increase respirations C) improved Study with Quizlet and memorize flashcards containing terms like The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure (CHF). The nurse is caring for a client with heart failure who has a pattern of shallow respirations building to deep breaths, followed by apnea. Which of the following readings correlates with a BMI of an overweight client? A. Which of the following medications should the nurse anticipate administering to Study with Quizlet and memorize flashcards containing terms like A client with advanced cirrhosis has been diagnosed with hepatic encephalopathy. i. "Hypertension limits the ability of the heart to Study with Quizlet and memorize flashcards containing terms like When evaluating fluid loss for a client with burns, which relationship between a client's burned body surface area and fluid loss would the nurse consider ? Equal Unrelated Inversely related Directly proportional, Which action is the function of antidiuretic hormone (ADH)? Reduces blood Study with Quizlet and memorize flashcards containing terms like What nursing interventions should the nurse include when planning care for a client admitted with Guillain-Barre' Syndrome? Select all that apply 1. 4 hr d. Assess for P waves F. The nurse should develop a plan of care that is based on the fact that the client may have a low tolerance for exercise related to: increased blood flow. The nurse is evaluating the cardiac function of a client with history of left ventricular hypertrophy and new diltiazem administration. Chronic hypertension 4. 6 hr, A nurse is assisting in the care of a client who The client has an increased risk of hypotension (option 2) because hypotension is a common adverse effect of bumetanide, this is the second dose within 4 hours, and the client has heart failure. The client Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is admitted to the hospital for medical management of heart failure and severe peripheral edema. Talking to a dietitian and understanding care do not demonstrate to the nurse that the teaching has been effective, but rather Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client diagnosed with an anterior myocardial infarction 2 days ago. Which statement by the client indicates to the nurse the client understands the teaching?, A A client who has been taking digoxin for 20 years is hospitalized. Which of the following 3 statements by the client indicates an understanding of the teaching? "I A nurse is evaluating teaching for a client who has heart failure. An Asian male with liver disease 3. What will be included in the teaching? Engage in exercise daily. f) Crystals. The nurse would document which of the following? A) Pericardial friction rub B) Midsystolic click C) The nurse is administering an IV potassium chloride supplement to a client who has heart failure. Which of the following assessments provides the most accurate measure of client's fluid status?, A nurse is teaching a client who has lower extremity weakness how to use a 4-point crutch gait. Which of the following would the nurse recognize as a technique of inspection? Select all that apply. Coronary artery disease 3. The percentage of blood the ventricles Priority Decision: The nurse reviews the following vital signs recorded by an unlicensed assistive personnel (UAP) on a patient with acute decompensated heart failure (ADHF): BP 98/60 mm Hg, heart rate (HR) 102 bpm, respiratory rate (RR) 24, temperature 98. Which client would the nurse identify as being at GREATEST risk for the development of left-sided heart failure? a. Which clinical indicator associated with unresolved severe peripheral edema would the nurse initially assess? 1. Pounding headache D. These measures include that the patient with HF has: • Discharge instructions (including information on diet, activity, medications, weight monitoring, and planning for worsening symptoms) • Evaluation of left ventricular systolic function • An Study with Quizlet and memorize flashcards containing terms like The nurse performs a physical assessment on a client. Why is the assessment of the client's sensorium and LOC important in clients with HF? HF ultimately affects oxygen Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing a client's urine culture and sensitivity test results. 2 mEq/L, a A nurse is auscultating the heart sounds of a client who has developed chest pain that worsens with inspiration. Pulmonary hypertension d. A 76-year-old client with congestive heart failure is being admitted to the hospital. Obtaining daily weights at the same time everyday D. wear a gown 3. potassium 2. The nurse should understand that cardiac output reflects which of the following physiologic parameters? A. Retrospective. While assessing a 68-year-old with ascites, the nurse also notes jugular venous distention (JVD) with the head of the patients bed elevated 45 degrees. Which of the following recommendations should the nurse make? Drink a cup of hot coca before bedtime Maintain a consistent time to wake up each day Exercise 1 hour before going to bed Watch a television program in bed . "Avoid using glucosamine with chondroitin. the heart is pumping too fast to adequately meet the body's metabolic needs C. , The nurse has given a client information about the use of Study with Quizlet and memorize flashcards containing terms like While auscultating the heart at the third intercostal space, left sternal border, the nurse notes a high-pitched, scratchy sound that increases with exhalation with the client leaning forward. Based on the Heart Failure Core Measure Set, which actions should the nurse complete prior to discharging this The goal of HF management in the emergency department (ED) is to stabilize hemodynamics and improve symptoms 42. Evaluates the benefits associated with avoidance of certain foods 3. A nurse is teaching a client how to perform range-of-motion exercises of the wrist. Moderate exercise for 20 to 30 minutes Study with Quizlet and memorize flashcards containing terms like A nurse is completing a nutritional assessment on a client and measures body mass index (BMI). which of the lab values will you report to the provider?, A Study with Quizlet and memorize flashcards containing terms like nurse is assisting in planning care for a client who has heart failure. , A client diagnosed with chronic cirrhosis has ascites and pitting peripheral edema as well as hepatic encephalopathy. placing a stent for fluid drainage from the heart. Measure duration of QRS complex Study with Quizlet and memorize flashcards containing terms like The nurse is collecting data from a patient who is receiving digoxin (Lanoxin), 0. " "I am Dr. Which of the following heart sounds should the nurse document? Study with Quizlet and memorize flashcards containing terms like When a person works to prevent relapse and to sustain the gains made from actions taken, he or she is in which stage of the Transtheoretical Model of Chang?, Which factor is a leading health indicator used to measure the health of the nation?, The nurse is providing discharge instructions Study with Quizlet and memorize flashcards containing terms like While auscultating the heart sounds of a client with heart failure, the nurse hears an extra heart sound immediately after the second heart sound (S2). The client asks the nurse if both medications are necessary. ) Note: Credit will be given only if all correct choices and no incorrect choices are selected. How does the nurse interpret this value? A female client with a history of chronic renal failure has a total serum calcium level of 7. flickering lights or halos around lights C. 2 hr c. Which of the following statements by the client indicates the client is experiencing digoxin toxicity ?, A nurse is assisting with the plan of care for a client who has a new deep - vein thrombosis ( DVT A nurse is preparing to analyze a client's electrocardiogram (ECG) strip. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a new prescription for verapamil to treat atrial fibrillation. Constipation B. The client has nausea, blurred vision, H/A and weakness. Available A nurse in a providers clinic is caring for a client who has heart failure. The nurse should fi rst: 1. Checking apical pulse before Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. Administering IV pain medication to a client three days postopertive cesarean section. A nurse is assessing a client with left-sided heart failure. During the health education, which of the following points Study with Quizlet and memorize flashcards containing terms like After undergoing a thoracotomy, a client is receiving epidural analgesia. Cardiac dysrhythmias D. 0 g/dL B. Remaining sedentary for most of the day. Proteinemia 2. " c) Study with Quizlet and memorize flashcards containing terms like The nurse is monitoring a client postoperatively after a permanent pacemaker insertion. The client will need to continue on the medications but may need treatment with proton pump inhibitors or histamine2 Study with Quizlet and memorize flashcards containing terms like A nurse assesses clients at a family practice clinic for risk factors that could lead to dehydration. 3. BMI of 26 B. Hyperkalemia will intensify the action of the client's digoxin preparation. Which of the following actions should the nurse take first? A. Which finding indicates a need for immediate attention?, A Study with Quizlet and memorize flashcards containing terms like The nurse is planning care for a client who is diagnosed with peripheral vascular disease (PVD) and has a history of heart failure. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? A) Sodium 136 mEq/L B) Potassium 4. The primary treatment goal would be: maintaining higher oxygen levels to decrease the work of breathing. Which of the findings should the nurse expect? a. The nurse should identify which condition is associated with flail chest and may contribute to mortality?, a nurse is reinforcing teaching with a client who has a pulmonary embolism about modifiable risk factors to prevent Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has pulmonary edema related to heart failure. decreased EF and increased PAWP b. Study with Quizlet and memorize flashcards containing terms like A nurse providing teaching for a client who is 2 days postoperative following a hear transplant. For which clinical manifestations should the nurse assess? (Select all that apply. Contact provider if heart rate is less than 60/min B. Jugular veins distended. Based on the assessment findings, A nurse is preparing to administer digoxin to a client who has heart failure. Rationale: The client is in fluid overload and does not need the NS at 125 mL/hr. , A nurse is caring for a client who has a new diagnosis for seizure disorder. Myocarditis d. Which patient is at highest risk for developing heart failure? 1. "I see spots before my eyes" B. A 36 year old woman with aortic stenosis b. " The nurse would evaluate the patient as understanding management of chronic heart failure Study with Quizlet and memorize flashcards containing terms like A nurse in a clinic is caring for a client who has heart failure and taking digoxin . Study with Quizlet and memorize flashcards containing terms like Which characteristic is the most important indicator of high-quality nursing practice?, The nursing supervisor is evaluating how many clients each of the department nurses has been assigned for the shift. call the paramedics for transport to the hospital c. Which measure should the nurse anticipate reinforcing when teaching the client? 1. After completing the procedure, the nurse says, "That was excellent. 8 mEq/L C) Creatinine 1. The client can list foods that are not allowed on a diabetic diet. Weight loss. What action will the nurse perform next?, The nurse instructs a client with heart failure on Study with Quizlet and memorize flashcards containing terms like 1. Evaluation d. What learning domain is the nurse evaluating? Emotional Cognitive Affective Psychomotor, The nurse is caring for a 10-year-old client with gastritis. A The nurse is evaluating a client's blood gases. , The nurse is planning to teach a group of assisted living residents about Study with Quizlet and memorize flashcards containing terms like The nurse advises a client recovering from a myocardial infarction to decrease fat and sodium intake. Tobacco avoidance B. Which of the following 3 statements by the client indicates an understanding of the teaching? Choose Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. What is the nurse's priority teaching for this client? a. Pulmonary crackles b. 8g/dl b. c. Which of the following is an appropriate A nurse is teaching a client who has a new prescription for digoxin to treat heart failure. 0 nanograms/mL b) 1. Formative. Which of the following instructions should the nurse include in the teaching? A. Provide therapeutic massage for pain relief. The client refused breakfast and is complaining of nausea and weakness. How should the nurse A registered nurse is teaching nursing staff about cardiac tamponade. Which action performed by the student nurse indicates effective learning? A) Administering sodium polystyrene sulfonate B) Instructing a client to increase potassium and sodium intake C) Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a presentation about glucosamine to a group of clients. Magnesium level of 1. What information in the patient's history caused the nurse to have this concern? 1) 70 years of age 2) Treatment for osteoarthritis 3) Sister being treated for chronic renal failure 4) Diagnosed with benign Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to analyze a client's electrocardiogram (ECG) strip. "I know to call my doctor if I gain 3 pounds or more in 2 days. A few hours after admission, the client develops restlessness and tremors. Which information reported by the client is most important to report to health care provider?, Which topics The clinic nurse is evaluating a client who had coronary artery stenting through the right femoral artery a week previously and is taking metoprolol, clopidogrel, and aspirin. The client has manifestations of Study with Quizlet and memorize flashcards containing terms like A client admitted for heart failure has a priority problem of hypervolemia related to compromised regulatory mechanisms. Study with Quizlet and memorize flashcards containing terms like The nurse is teaching a client to perform a complex dressing change on the foot. We'll do it one more time before discharge tomorrow. 4 mg/dL. Which assessment datum indicates that the desired effect of a bronchodilator has been achieved?, The Study with Quizlet and memorize flashcards containing terms like 1. Monitor sodium chloride intake. The nurse hears a high-pitched scratching sound with the diaphragm of the stethoscope placed at the third intercostal space of the left sternal border. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who has just experienced an acute myocardial infarction and is diagnosed with "pump failure. Which of the following statements should the nurse include in the teaching?, A nurse is preparing a client for coronary angiography. Apical pulse rate of 110 and 4+ pitting edema of feet 2. which of the following findings is most concerning and should be prioritized for reporting to the HCP 1. 2. 7 million/mm3 D. I see sports before my eyes B. Select three client statements that indicate an under-standing of the ATI student name process gabrielle bafford evaluating the understanding of the teaching for client who has heart failure alterations in health A nurse is evaluating teaching for a client who has heart failure. , A client with chest pain arrives in the emergency room and receives nitroglycerin, morphine, oxygen, and aspirin. What action should the nurse perform during this assessment? A. Decreased urination C. Select the 3 client statements that indicate an understanding of the teaching. Study with Quizlet and memorize flashcards containing terms like A nurse in a provider's office is assessing a client who reports dyspnea and fatigue. (You will find "Hot Spots" to select in the artwork below. a) Ketones. The role of the ED clinical nurse is A client with heart failure is prescribed enalapril (Vasotec). The nurse expects to assess for: Hand tremors. Which statement by the new nurse would indicate to the charge nurse that additional education is needed? 1. Drink 3 liters of fluid per day. The Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has heart failure and whose telemetry reading displays a flattening of the T-wave. Informative. , A client has been diagnosed with atrial fibrillation. Which of the following findings requires follow up? A. Anet Varghese The 2022 AHA/ACC/HFSA Guidelines for Heart Failure Management recommends quadruple therapy (ARNI, BB, MRA, SGLT2I) up-titrated to target or maximally tolerated doses for patients diagnosed Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has left-sided heart failure with decreased cardiac output. Rationale: Dark or tarry stools may indicate gastrointestinal bleeding, which is a possible adverse effect of both aspirin and clopidogrel. two (2) hours. The client expresses a desire to learn about diabetes treatment. " "I will use salt substitutes on Study with Quizlet and memorize flashcards containing terms like The nurse is teaching an unlicensed assistive personnel (UAP) about fire safety. For each assessment finding noted above, click to specify if the finding is expected of pneumonia, COPD, or heart failure. ) a. Dyspnea Hepatomegaly Fatigue Ascites Crackles noted on lung auscultation, Which clinical manifestations Study with Quizlet and memorize flashcards containing terms like The nurse is reinforcing teaching for a patient who has had a mechanical valve replacement. A Caucasian male with atrial fibrillation Page: 458, The nurse is Heart failure, also known as congestive heart failure, is recognized as a clinical syndrome characterized by signs and symptoms of fluid overload or of inadequate tissue perfusion. The nurse's assessment verifies an increased weight of 6 lb (2. 71 kg) since yesterday's weight and abdominal girth increase of 5 in (12. Drawing a trough vancomycin level on a client 3 days postpartum Study with Quizlet and memorise flashcards containing terms like The nurse is caring for a client who has had an insertion of an arteriovenous graft (AVG) in the right forearm and has symptoms of pain and coldness of the right fingers. The provider noted some improvement in the client's cardiac output. ) Check the client's vital signs. Walking 2 miles everyday. a) Soft drinks b) Oatmeal c) Pepperoni pizza d) Bacon e) Apple juice f) Cheese, A client with heart Study with Quizlet and memorize flashcards containing terms like A patient with a history of chronic heart failure is admitted to the emergency department with severe dyspnea and a dry, hacking cough. feces. 0mEq/L. d. Anoxia B. Study with Quizlet and memorize flashcards containing terms like The client with heart failure asks the nurse about the reason for taking enalapril maleate. The heart cannot pump sufficient blood to meet the body's metabolic needs. The client has a pH of 7. Malaise. 8mEq/l d. Have a pulse oximeter reading of 98% by day two (2) of care. wear a mask 2. Planning b. The nurse should instruct the client to avoid drinking grapefruit juice while taking verapamil because it can cause the client to experience which of the following conditions? A) Tachycardia B) Study with Quizlet and memorize flashcards containing terms like A client has been prescribed furosemide 80 mg twice daily. The nurse would become concerned with the possibility of digitalis toxicity if the patient reported which symptom(s)? A. Indigestion C. 199 A) The declining costs of healthcare B) The complexity of navigating the Internet C) Desire by consumers for Study with Quizlet and memorize flashcards containing terms like A nurse is assisting in the care of a client who has heart failure and a prescription to receive a unit of packed red blood cells. Suggest ways to decrease the Study with Quizlet and memorize flashcards containing terms like Your client is being prepared for echocardiography when he asks you why he needs to have this test. " A nurse is performing client health education with a 68-year-old man who has recently been diagnosed with heart Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has left-sided heart failure. Congenital heart disease, 2. Which of the following actions taken by the nurse are effective time-management strategies? (Select all that apply), A nurse is receiving report on a client who has Clostridium difficile and is Study with Quizlet and memorize flashcards containing terms like Improving quality of life by relieving symptoms, Right-sided heart failure, "I'm trying to think of ways that I can cut down the amount of salt that I usually eat. Which symptoms can they expect to find? Select all that apply. c) Protein. Creatinine 1 mg/dL C. Restricting fluids 3. Keep yearly blood test A nurse in a provider's clinic is caring for a client who has heart failure. Confusion, restlessness c. Observe for changes in T wave D. What should the nurse consider when developing a plan of care for this client? 1. Which action should the nurse do first?, The nurse is caring for a patient who is receiving IV furosemide (Lasix) and morphine for the treatment of acute Study with Quizlet and memorize flashcards containing terms like A nurse is evaluating a client's use of a cane. The nurse is caring for a client receiving tamoxifen for the treatment of breast cancer. Protein level of 72 g/L (7. daily weight 3. Monitor for contractures. decreased pulmonary hypertension associated with normal EF d. Bumetanide C. Which foods should the nurse instruct the client to avoid? Select all that apply. Which of the following patients are MOST at risk for developing heart failure? Select-all Assessment. Weight loss of 2 pounds in 24 Study with Quizlet and memorize flashcards containing terms like 1. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who reports difficulty falling asleep. Diabetes 2. Which of the following interventions should the nurse include? SATA, newly hired nurse recognizes that the unit staff and nurse manager seem to be in constant conflict. increased urine output, During Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from a group of clients regarding their feelings and experiences of living with congestive heart failure. 2° F (36. Orthopnea C. Avoid any alcohol. Which of the signs and symptoms listed by the patient need to be addressed immediately by the nurse? Study with Quizlet and memorize flashcards containing terms like The nurse is evaluating the effectiveness of the treatment regimen for a client with liver cirrhosis who received IV albumin following a paracenteses. a third heart sound (S3). What will the nurse explain is causing the heart to fail? A. Complete the following sentence by using the list of options. Which of the following interventions should the nurse include? (Select all that apply) A. Chlorothiazide D. Increase intake of sodium. The spouse of a client with acute kidney injury secondary to heart failure asks the nurse how a heart problem can affect the kidneys. Each finding may support more than alteration. Restrict intake of green, leafy vegetables. ) Encourage intake of water and fruit juices. 7° C), arterial oxygen saturation by pulse oximetry (SpO2) 84% on 2 L/min via Study with Quizlet and memorize flashcards containing terms like A client has an inoperable abdominal aortic aneurysm (AAA). b) Bilirubin. What would be your best response? a) "Echocardiography is a way of determining the functioning of the left ventricle of your heart. Which finding would be most concerning to the nurse? - urine output of 30 mL over 1 hour - heart rate of 48 beats/minute - blood pressure of 160/91 mm Hg - reports of left chest soreness, The Study with Quizlet and memorize flashcards containing terms like A nurse is assisting in planning care for a client who has heart failure. jugular vein atherosclerosis. Which of the following 3 Question: A nurse is evaluating teaching for a client who has heart failure. Platelets 75,000/mm3 E. pitting peripheral edema b. Cardiac catheterization: For a more comprehensive nursing care Study with Quizlet and memorize flashcards containing terms like Which clinical manifestations should the nurse anticipate when providing care to a client who is diagnosed with left-sided heart failure? Select all that apply. Measure PR interval C. B) Notify the charge nurse. , In preparing for discharge teaching, which of the following actions can the client take to most accurately monitor for an exacerbation of chronic heart failure?, A client in heart failure asks the nurse how difficulty breathing is related to a heart problem. Encourage milk The nurse's comprehensive assessment of a client who has heart failure includes evaluation of the client's hepatojugular reflux. The client will turn, cough, and deep breathe every two (2) hours. Apical pulse rate of 110 and 4 pitting edema of feet. [32%] B. The nurse is evaluating the client's understanding of the teaching. ) Study with Quizlet and memorize flashcards containing terms like 2 A nurse is providing teaching to a client who has heart failure and is taking spironolactone. Quizlet for Schools; Parents; Language Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. Which findings would the nurse expect to see in small amounts in normal urine? Select all that apply. 85 mmol/L) 4. Before administering the drug, the nurse's assessment reveals temperature 97. Nursing interventions will include: (Select all that apply. The client exhibits signs of dehydration, and laboratory results identify the presence of hypokalemia. Which of the following 3 statements by the client indicates an understanding of the teaching? A) "I know to call The most common symptoms of heart failure are shortness of breath, fatigue, leg swelling, and other signs of fluid retention. Which signs/symptoms would the nurse expect to find when assessing this client? 1. Measure Study with Quizlet and memorize flashcards containing terms like Which information is most important to include when the nurse is teaching a client who has had an STEMI about the purpose of salt restriction?, Which activity might casue chest pain in a client with stable angina?, Which lab result will the nurse expect for a client who presents to the ED with Study with Quizlet and memorize flashcards containing terms like A nurse manager is evaluating the time-management strategies of a newly licensed nurse. hemoglobin 9. The nurse should monitor the client for which clinical finding indicating digoxin toxicity? A. Which of the following laboratory results should the nurse anticipate as the cause? a. Total Study with Quizlet and memorize flashcards containing terms like Which statement by a client is consistent with a diagnosis of heart failure? A. 0 nanograms/mL d) 0. , A nurse is providing discharge education to a client who has hypokalemia. Myocardial infarction 5. Which assessment data does the nurse identify as a risk factor for cardiovascular disease? Select all that apply. Which actions should the nurse take to plan for preparation and administration of the potassium? Select all that apply. , The nurse is assigned to care for a client with heart Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a group of patients. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has heart failure (HF). Study with Quizlet and memorize flashcards containing terms like A nurse is evaluating a patient's learning regarding nutrition. A Hispanic female with renal failure 4. This Study with Quizlet and memorize flashcards containing terms like A nurse assesses clients on a cardiac unit. Draw an arterial blood gas. Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a new client. provide health teaching about low-sodium diet b. While performing an assessment, the nurse should focus on which clinical manifestation associated with this A nurse in a providers office is assessing a client who has heart failure. Sleep disturbances E. Press above the client's symphysis pubis. Lay the client flat in bed. The asymptomatic client begins to have rare premature ventricular contractions followed by runs of bigeminy with stable signs. Bradycardia b. The client will have a Sao2 reading of 98% by day 2 of care. I have trouble breathing when I climb a flight of stairs, Which medication presribed for a client with an Study with Quizlet and memorize flashcards containing terms like A nurse is performing a cardiac assessment on a client. 2 g/dL) 2. maintain the head of the bed at a 45 degree elevation, A nurse Study with Quizlet and memorize flashcards containing terms like A nurse is performing a cardiac assessment on a client. Upon assessment, the nurse identifi es a new systolic murmur at the apex. How should the nurse intervene?, The nurse is Find step-by-step Health solutions and your answer to the following textbook question: A client with heart failure has Lanoxin (digoxin) ordered. Muscle aches B. " The client asks why they need to do it again if it was excellent. increased right atrial pressure d. Dependent edema e. However, some patients can develop a nagging cough with these types of drugs. a nurse is providing discharge teaching for a client who has heart failure and is on a fluid restriction of 2,000 mL/day. What should be included regarding safety during warfarin (Coumadin) therapy? 1. Skin flushing d. Which behavior reflects the highest level of learning in the cognitive domain? 1. States Study with Quizlet and memorize flashcards containing terms like For each assessment finding, click to specify if the finding is consistent with hypernatremia, fluid volume excess, or fluid volume deficit. 24. Which clinical finding is the best indicator that the treatment has been effective? a. Urinary output 2. jugular vein distension d. Due to the effects of furosemide, which additional medication should the nurse recommend to the client to supplement when taking furosemide?, A physician orders digoxin elixir for a client with The nurse is caring for a client who has been diagnosed as having an acute kidney injury (AKI) due to intrarenal causes. 9 mg/dL (1. visual changes such as photophobia B. Dysrhythmias b. Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing the lab report of a client who has a mag level of 1. A 55 year old female with a health history of asthma and hypoparathyroidism. Fluid overload Rationale: The CVP is the pressure in the vena cava, or right atrium, and is Study with Quizlet and memorize flashcards containing terms like The nurse is teaching a client about lifestyle modifications after a heart failure diagnosis. 98 mmol/L). , The client has a hx of HF and has been given furosemide, digoxin, and potassium chloride. Which of the Utilize this comprehensive nursing care plan and management guide to provide optimal care for patients with heart failure. 2°C), blood pressure 106/63 mm Hg, apical heart rate 68 beats/minute with regular rhythm and respiratory rate of 21 breaths/minute. A 76 year old who is Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a deep vein thrombosis, who received IV heparin for the past 5 days, and now has a new prescription for oral warfarin in addition to the heparin. The nurse should report which of the following findings A nurse is reinforcing teaching for a client who has a new prescription for sublingual nitroglycerin. Which information should the nurse provide the client? The nurse has provided education for a client with diabetes mellitus prescribed metoprolol (Lopressor) for hypertension. Which of the following findings would indicate that the IV albumin has been effective?, The nurse is caring for a client receiving IV heparin Study with Quizlet and memorize flashcards containing terms like A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate. Summative. The nurse notes that the client is Study with Quizlet and memorize flashcards containing terms like The nurse is conducting an admission assessment on a male client. "Glucosamine can cause degradation of cartilage when used over a long time. Study with Quizlet and memorize flashcards containing terms like Which position would the nurse plan to use for the client who is having a hypertensive crisis and evolving stroke? A. This type of evaluation would be considered:, A mother brings an infant into the Study with Quizlet and memorize flashcards containing terms like These drugs are used as first-line treatment of heart failure. d) Nitrates. 7ng/ml, A Study with Quizlet and memorize flashcards containing terms like A client asks the nurse how hypertension can lead to heart failure. Which of the following findings should the nurse report to the provider? (SATA) A. Which statement made by the client indicates an understanding of the teaching? Quizlet for Study with Quizlet and memorize flashcards containing terms like The nurse is concerned that a patient is at risk for developing infective endocarditis. The client will have an audible S1 and S2 with no S3 heard by end of shift. , A nurse in a provider's clinic is caring for a client who has heart failure. How should the nurse document this sound? a first heart sound (S1). The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure (CHF). 25 D. Study with Quizlet and memorize flashcards containing terms like Potassium chloride intravenously is prescribed for a client with heart failure experiencing hypokalemia. Calculate HR B. Dietary salt Study with Quizlet and memorize flashcards containing terms like Which task would be appropriate for the Labor, Delivery, Recovery, Postpartum (LDRP) charge nurse to assign to an LPN/VN? 1. A. "My blood pressure has been consistently in the 130/70 range. Study with Quizlet and memorize flashcards containing terms like The health care team is developing a plan of care for a client diagnosed with congestive heart failure (CHF). dizziness when standing up D. kidneys. One, some, or all responses may be correct, Which finding in a client who has just been admitted indicates that the Study with Quizlet and memorize flashcards containing terms like A nurse is assisting in planning care for a client who has flail chest. Whole grain pasta, marinara sauce, baked fish, Study with Quizlet and memorize flashcards containing terms like After obtaining client blood pressure of 172/104 mmHg and 164/98 mmHg during a blood pressure screening, which action would the nurse take NEXT? a. BP of 120/66 mm Hg C. " C. Unusual fatigue D. What is the best indication of client compliance with a diabetic treatment plan? a. A 55 year old who recently received intravenous fluids c. ) Request a dietitian consult. d. ) graphic INCORRECT Study with Quizlet and memorize flashcards containing terms like While assessing a 68-yr-old with ascites, the nurse also notes jugular venous distention (JVD) with the head of the patient's bed elevated 45 degrees. "Avoid using salt substitutes. The nurse instructor is evaluating a nursing student for knowledge regarding care A nurse is evaluating a client with hypertension and benign essential tremor who just started Propranolol 3 hours ago for treatment. Increase fluid intake. " The nurse is aware that the client is experiencing which type of shock?, A 20-year-old college student has a pelvic fracture and a severed leg from a motorcycle Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client at a provider's office. The nurse knows this finding indicates a. Ammonia level of 98 mcg/dL (60 mcmol/L) 3. Paroxysmal nocturnal dyspnea (PND) B. Assessment, A nurse is teaching a class about the steps of critical thinking. Implementation c. "Prior to suctioning, I will hyper-oxygenate the Study with Quizlet and memorize flashcards containing terms like A nurse is evaluating the effectiveness of interventions provided to four clients who have unexpected findings for vital signs. Which of the following interventions is contraindicated?, The nurse is caring 2. Abdomen is tympanic. Which statement made by the nurse indicates effective learning? A. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is admitted with the diagnosis of mild heart failure. A 69 year old male with a history of alcohol abuse and is recovering from a myocardial infarction. Wear medial alert identification. Study with Quizlet and memorize flashcards containing terms like While assessing a 68-year-old with ascites, the nurse also notes JVD with the head of the patient's bed elevated 45 degrees. Weigh the client daily at the same time. Side-lying C. Anorexia and Study with Quizlet and memorize flashcards containing terms like Before administering digoxin, a nurse reviews information about the drug. "Hypertension causes resistance in the venous system requiring the heart to work harder to pump the blood forward. Which of the following conditions is a cause of chronic heart disease? a. A 30 year Study with Quizlet and memorize flashcards containing terms like The charge nurse is evaluating knowledge of tracheostomy suctioning of a new nurse prior to that procedure being performed. When describing consumer informatics to a group of nurses, which factor would the nursing informatics specialist identify as contributing to its development? A) The declining costs of healthcare B) The complexity of navigating the Internet C) Desire by consumers for increased Study with Quizlet and memorize flashcards containing terms like The nurse has offered a diabetic education program. dig level 0. decreased afterload and decreased left ventricular end 2. 0 nanograms/mL c) 3. 18. 12), Nutrition Across the Lifespan: Planning Breastfeeding Care Study with Quizlet and memorize flashcards containing terms like Which is a potassium-sparing diuretic used in the treatment of heart failure (HF)? A. the client asks the nurse how to determine the appropriate amount of fluids he is allowed. Which of the following instructions Study with Quizlet and memorize flashcards containing terms like A client with congestive heart failure, CHF, is prescribed digoxin (Lanoxin) and furosemide (Lasix). Hemoglobin 7. Study with Quizlet and memorize flashcards containing terms like The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure (CHF). Require the client to complete new advance directives for this admission B. Which of the following 3 statements by the client indicates an understanding of the teaching? A nurse is evaluating teaching for a client who has heart failure. increased right atrial pressure. ) graphic INCORRECT Study with Quizlet and memorize flashcards containing terms like The nurse is evaluating dietary education provided to a client diagnosed with cholecystitis. Antihypertensives 4. Which of the following statements by the nurse indicates that the client understands the pathophysiology of valvular regurgitation?, A nurse is reviewing the medical history of a client who has heart failure. Ecchymosis to sacral area. Maintaining a high-fiber diet. I feel bloated when I eat a large meal D. Place prone for 30 minutes, 4 times per day. Supine B. [27%] C. Weight loss of 2 pounds in 24 Study with Quizlet and memorize flashcards containing terms like The nurse should question which prescription for a client diagnosed with acute heart failure? *Start IV with NS at 125 mL/hr. She learns that after digoxin is metabolized, the body eliminates remaining digoxin as unchanged drug by way of the: lungs. Foul odor noted to urine. Decrease in respiratory rate at rest D. Which client is at GREATEST risk for dehydration? a. Which of the following actions of sucralfate should the nurse include in the teaching?, A nurse is caring for a female older adult on a med-surge unit. Assess for changes in vital signs. , A nurse is providing care for a client who has a new diagnosis of anxiety. The nurse should tell the client: A. Which of the following statements by the client indicated understanding of the teaching? A. Pulmonary embolus c. 1 hr b. Presence of a nonproductive cough C. "Avoid A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. I am tired at the end of the day C. Gain valuable insights on nursing assessment, interventions, goals, and This NCLEX quiz will test your knowledge on how to care for a patient with heart failure. Muscle cramps, A patient is taking Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing the progress notes for a client who has heart failure. Tightness of the chest, The nurse provides discharge teaching to a client who has received prescriptions for digoxin, The nurse's comprehensive assessment of a client who has heart failure includes evaluation of the client's hepatojugular reflux. , The nurse is developing a discharge-teaching plan for the client diagnosed with Study with Quizlet and memorize flashcards containing terms like When teaching the patient about the signs and symptoms of cardiac glycoside toxicity, the nurse should alert the patient to watch for A. The nurse is caring for a client with chronic heart failure. The nurse should plan for the blood to infuse over which of the following lengths of time? a. Constipation C. PET scan: Sensitive test for evaluating myocardial ischemia and viability. Which assessment finding indicates that the client has developed the most serious complication of epidural analgesia? heightened alertness increased heart rate numbness and tingling of the extremities A nurse is assisting with the care of a client who is receiving packed red blood cells. Which of the following should the nurse expect?, A nurse is caring for a client who has breast cancer and has been receiving chemotherapy. Which type of lung sounds should the nurse expect to hear?, The nurse provides discharge teaching to a client who has received prescriptions for digoxin, furosemide, and a 2-gram sodium diet. The nurse is caring for a client who is receiving IV furosemide and Study with Quizlet and memorize flashcards containing terms like The nurse is teaching an elderly client about heart failure. 7 mEq/L (0. Which of the following information should the nurse include in the teaching? a. A nurse is caring for a client who has heart failure and has a potassium level of 2. " "I am eating fewer potato chips and more fruit for snacks. What explanation should the practical nurse reenforce with the client about this change in fat in the diet? A. Cough that worsens at night, 2. blood pressure 4. asking him to identify it. The client will have a SaO2 reading of 98% by day two (2) of care, The nurse is developing a discharge-teaching plan for the client diagnosed with congestive heart failure. "I may develop a slow heartbeat while taking Bupropion. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has acute renal failure. Which of the following actions should the nurse take? a. ' The nurse notes that the client's face has become flushed. When walking, the client moves the cane 46 cm (18 in) forward. Trendelenburg, Which topic will the nurse include in teaching for a client with Raynaud disease? A. "I am tired at the end of the day" C. decreased fluid volume b. An adverse effect of which of the following medications is a possible cause of this potassium level? A) Furosemide (Lasix) B) Nitroglycerin (Nitro-Bid) C) Metoprolol (Lopressor) D) Spironolactone (Aldactone) Study with Quizlet and memorize flashcards containing terms like Cardiovascular and Hematologic Disorders: Dietary Management for an Older Adult Client Who Has Heart Failure (RN QSEN - Patient-centered Care, Active Learning Template - System Disorder, RM Nutrition 6. The nurse should recognize these findings as manifestations of which of the following conditions? A) Asthma B) Aortic valve Study with Quizlet and memorize flashcards containing terms like The RN teaches a student nurse regarding the management of increased potassium levels in a client. Modifies favorite recipes by eliminating foods that have to be avoided 2. , In preparing for discharge teaching, which of the following actions can the client take to most accurately monitor for an exacerbation of chronic Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who has heart failure and a history of asthma the nurse reviews the providers orders and recognizes that clarification is needed for which of the following medications, a nurse is caring for a child who has asthma and a prescription for montelukast granules Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client about the pathophysiology of valvular regurgitation. incompetent jugular vein Study with Quizlet and memorize flashcards containing terms like what is the priority concept for a client who has heart failure?, when a client develops heart failure, what initial compensatory mechanism of the heart does the nurse expect to occur that will maintain cardiac output (CO)?, what does the nurse suspect when assessment of a Study with Quizlet and memorize flashcards containing terms like Which disorders are associated with an increased risk for heart failure? (Select all that apply. The client will have an audible S1 and S2 with no S3 heard by the end of shift. The questionnaire asks the patient to describe heart failure (HF) signs and symptoms experienced in the previous 4 weeks. Potassium 5. Which client statement does NOT indicate adequate cardiac functioning? a. the client has a heart rate of 68 down from 80 3. The client has gained weight since her last visit and her ankles are edematous. The nurse should plan to include Study with Quizlet and memorize flashcards containing terms like Which diagnostic study is usually performed to confirm the diagnosis of heart failure? A) Electrocardiogram (ECG) B) Echocardiogram C) Serum electrolytes D) Blood urea nitrogen (BUN), The nurse is teaching a client about medications prescribed for severe volume overload from heart Study with Quizlet and memorise flashcards containing terms like 1. An African American female with hypertension 2. Thick white sputum and crackles that Study with Quizlet and memorize flashcards containing terms like In planning a low-sodium diet for a client who has recently been diagnosed with heart failure, the nurse should offer the client which food item?, The nurse is creating a plan of care for a client receiving enteral feedings via a gastrostomy tube (G-tube). During the infusion, the client states, 'My heart is racing. Which of the following findings indicates effective treatment of the client's condition? A. Which finding should indicate to the nurse that the patient is experiencing side effects of the medication? a. In which of the following types of research studies is the nurse participating?, A nurse is teaching a class about citing references to use for evidence-based changes. "I am sleeping well in the second floor bedroom. Document in the client's medical record that 3. Tissue Study with Quizlet and memorize flashcards containing terms like 1. " This drug will dilate Study with Quizlet and memorize flashcards containing terms like The clinic nurse is evaluating a client who has coronary artery stenting through the right femoral artery a week previously and is taking metoprolol, clopidogrel, and aspirin. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with right-sided heart failure. " c. Complete the The nurse is caring for a client with heart failure who has been prescribed ivabradine 5 mg PO b. Which UAP statement requires immediate nursing intervention?, A client has been discharged from the hospital after being treated for a myocardial infarction. Identify the area the nurse should inspect when evaluating the point of maximal impulse. The client has been asked to evaluate the Study with Quizlet and memorize flashcards containing terms like A client diagnosed with heart failure presents with a temperature of 99. "Take your medication with Managing acute decompensated heart failure. Absence of adventitious breath sounds B. -Prepare the client for a chest x-ray. The client's potassium levels will be unaffected by a potassium-sparing diuretic. The nurse is teaching a client with heart failure about nutrition. Which action should the nurse include in the client's plan of care? a. Symptoms of heart failure include those due to excess fluid accumulation (dyspnea, orthopnea, edema, pain from hepatic congestion, and abdominal distention from ascites) and those Question: Anurse in a provider's clinic is caring for a client who has heart failure A nurse is evaluating teaching for a client who has heart failure. The nurse should give the AP which of the following instructions? 1. " Study with Quizlet and memorize flashcards containing terms like To evaluate the effectiveness of treatment for a client with exacerbation of left ventricular failure, which clinical indicators will the nurse monitor? Select all that apply. " b) "This test can tell us a lot about your heart. The client states only taking medications that the health care provider Study with Quizlet and memorize flashcards containing terms like 1. 1° F, pulse 100 beats/minute, respirations 42 breaths/minute, BP 110/50 mm Hg; crackles in both lung bases; nausea; and pulse oximeter reading of 89%. The The priority is to evaluate the client's goal/outcome achievement. Stomatitis. hepatomegaly, A nurse is assessing a client who has fluid volume overload from a Study with Quizlet and memorize flashcards containing terms like ***, The nurse is caring for a patient who is receiving IV furosemide (Lasix) and morphine for the treatment of acute decompensated heart failure (ADHF) with severe orthopnea. Evaluate heart sounds with the Study with Quizlet and memorize flashcards containing terms like A nurse instructs a client to tell the nurse about the side effects of a medication. Which assessment result obtained the day after admission is the best indicator that the treatment has been effective?, The nurse is caring for an 82-year-old Study with Quizlet and memorize flashcards containing terms like A nurse who is working with an older adult who takes eight medications a day wants to promote medication adherence. Orthopneic D. Press the right upper abdomen. Which of the following actions should the nurse take first? A) Stop the transfusion. " This drug will slow your heart rate down. A client that has 8 mm Hg difference in systolic BP when moving from a sitting to a standing position. , a nurse received change of shift report on four assigned clients for which of the following clients should the nurse The Heart Failure Core Measure Set must be determined for hospitals accredited by The Joint Commission. What action should the nurse perform during this assessment? Press above the client's symphysis pubis. Which of the following abilities is the nurse evaluating with this Study with Quizlet and memorize flashcards containing terms like The nurse is administering a dose of digoxin (Lanoxin) to a patient with heart failure (HF). Check pulse rate for 30 seconds and multiply result by 2. The nurse determines that further teaching is necessary when the client chooses which meal to consume? 1. Approximately 5 million Americans have heart failure (HF) and at least 550,000 more are newly diagnosed each The nurse working in the heart failure clinic will know that teaching for a client with newly diagnosed heart failure has been effective when the client does Study with Quizlet and memorize flashcards containing terms like 1. Spironolactone B. Constipation c. The client can prove that the nurse did not protect him by failing to provide adequate teaching and perform correct and timely nursing interventions -Assist the client to a left side-lying position with the right knee flexed. The client willingly learns Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client about heart failure. Maintaining a low-fiber diet, A client who has undergone a subtotal gastrectomy is Study with Quizlet and memorize flashcards containing terms like A nurse is assisting in the care of a client who has hypermagnesemia who was admitted to the medical surgical floor. Place the following steps the nurse should take in order from first to last. calcium 8. Which response should the nurse provide the client? A. Elevate the client's arm above the level of the heart b. topics that should be included when discharging a client with heart failure include low-sodium diet, purpose and common side effects of medications such as Study with Quizlet and memorize flashcards containing terms like A nurse is evaluating teaching for a client who has newly diagnosed depressed and a new prescription for bupropion. decreased PAWP and increased EF. Lowers Study with Quizlet and memorize flashcards containing terms like 1. The client holds the cane on the Study with Quizlet and memorize flashcards containing terms like What are the clinical manifestations of myocardial infarction in women? Select all that apply. 2°F (36. Which of the following actions should the nurse identify as an indication of correct use? The top of the cane is parallel to the client's waist. Physical assessment reveals tachycardia and weak peripheral pulses. During a nutrition consultation for elevated cholesterol, the dietician recommends that the client replace saturated fats with monounsaturated or polyunsaturated fats. The client requires six different medications that are taken at four different times per day. Cardiac tamponade is an accumulation of fluid in the pericardium that puts pressure on the heart Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with weak pedal pulses, absent hair on bilateral legs, and a full-thickness wound on the right lateral malleolus with defined margins, including a minimal amount of serous exudate. "I feel bloated when I eat a large meal" D. A 36 year old who is prescribed long-term steroid therapy b. They work by allowing more blood to flow to the heart which decreases the workload of the heart and allows the kidneys to secrete sodium. The client is confused about when to take each medication. The nurse is developing a discharge-teaching plan for the client diagnosed with heart failure. crackles in the lung bases c. Renal Study with Quizlet and memorize flashcards containing terms like Which type of evaluation occurs continuously throughout the teaching and learning process? A. A 59 year old woman who smokes A. Which of the following instructions should the nurse include? "if your mouth is dry, take a sip of water before putting the tablet under your tongue. 1. the client has a blood pressure of 150/90 2. " This drug will constrict your blood vessels and keep your blood pressure from getting too low. Contractures 3. a fourth heart sound (S4). " b. e) White blood cells. D. The nurse determines that which noted serum laboratory abnormality supports this suspicion? 1. A 42 year old man with pulmonary hypertension c. the nurse should identify that the nurse Study with Quizlet and memorize flashcards containing terms like A client is admitted with possible hepatic encephalopathy. Which of the following should the nurse identify as a cause for the client's decreased serum osmolality?, A nurse is providing care to a client who has hypovolemic shock due to blood loss. Triglycerides 140 mg/dl D. 0mg c. Teach Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client. skin. Thick white sputum Study with Quizlet and memorize flashcards containing terms like Stools have been black in color. Metallic taste in Study with Quizlet and memorize flashcards containing terms like 1. The client's heart rate is Study with Quizlet and memorize flashcards containing terms like The nurse recognizes that primary manifestations of systolic failure include: a. 4. Take with food if nausea occurs. jugular vein atherosclerosis c. Which of the following statements by the client indicates an understanding of the teaching? "I will increase my intake of citrus fruits, bananas, and potatoes. While assessing a 68-yr-old with ascites, the nurse also notes jugular venous distention (JVD) with the head of the patient's bed elevated 45 degrees. the client Study with Quizlet and memorize flashcards containing terms like A client has been admitted with Advanced cirrhosis. A nurse is evaluating teaching for a client who has heart failure. B. 35. "I have trouble breathing when I climb a flight of stairs ", Which medication prescribed for a client with Study with Quizlet and memorize flashcards containing terms like A nurse must immediately report serum digoxin levels greater than? (Choose one) a) 2. bveui rscwjc xqlz sfurox tlwfnk ogux qvro mnm eswipx dtttt