Which condition alerts the nurse to assess a patient for worsening heart failure?
a. Blood pressure of 106/40 mm Hg
b. Pounding headache
c. Foul urine odor
d. Ankle swelling
D
Ankle swelling is associated with heart failure, although other conditions also can cause it. If this is a new symptom or is occurring even when the patient is not spending a lot of time sitting or standing, the nurse should assess the patient for other symptoms of heart failure. Although the blood pressure is not high, the pulse pressure is wide which does not indicate failure. A pounding headache is most associated with elevated blood pressure. Foul-smelling urine is associated with urinary tract infection.
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Indicate whether the statement is true or false
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The nurse is providing end-of-life care for a client with end-stage cancer. In which of the following specialties is this nurse employed?
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