The nurse would anticipate that the patient with right-sided heart failure would exhibit:
a. wheezing.
b. orthopnea.
c. edema.
d. pallor.
C
Edema from the systemic backup would be the most significant sign. Wheezing, orthopnea, and pallor are indicative of left-sided failure.
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An older client is preparing to go to the home of a daughter who will be the primary caregiver. What should the nurse instruct the daughter about the client's care?
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a. Patients must exhaust other acne treatments before they can obtain a prescription. b. The criteria apply only to patients and physicians. c. Prescriptions are tracked through a central automated system. d. The medication may be prescribed only by dermatologists.
The nurse answers the patient's call light to find the patient agitated and stating that she "felt something pop." The nurse finds that the patient's abdominal surgical wound has eviscerated. What should the nurse do?
a. Try to reinsert the abdominal contents. b. Cover the wound with a dry sterile dressing. c. Notify the surgeon when he makes rounds. d. Cover the wound with a moist saline dressing.