During hospitalization for congestive heart failure (CHF), a client awakens during the night frightened and short of breath. Based on this data, what is the client experiencing?
A) Cardiomyopathy
B) Paroxysmal nocturnal dyspnea
C) High-output failure
D) Multisystem heart failure
Answer: B
Paroxysmal nocturnal dyspnea occurs when edema fluid that has accumulated during the day is reabsorbed into the circulation at night. This causes fluid overload and pulmonary congestion. The client awakens at night short of breath and frightened. The client is not experiencing multisystem heart failure, cardiomyopathy, or high-output failure.
You might also like to view...
The medical model of nursing is demonstrated when the nurse does what?
1. Takes time to learn more about the patient 2. Sits with a dying patient and holds her hand 3. Administers medications 4. Uses touch as an indication of concern and caring
A client asks the nurse to "please pray for me." This information tells the nurse that the client is experiencing:
a. spiritual distress. b. eustress. c. anxiety. d. spiritual well-being.
The dosage ordered per m2 BSA will give you the desired dose
Indicate whether the statement is true or false
What glomerular filtration rate (GFR) would the nurse estimate for a 30-year-old patient with a creatinine clearance result of 60 mL/min?
a. 60 mL/min b. 90 mL/min c. 120 mL/min d. 180 mL/min