The nurse caring for an 80-year-old COPD patient suspects right-sided heart failure and assesses and records the data. A sign of right-sided heart failure is decreasing:
1. blood pressure.
2. urine output.
3. respirations.
4. heart rate.
2
The decreasing urine output is one of the signs. The fluid, instead of being excreted as urine, is not trapped in the tissues as edema. Blood pressure, respirations, and heart rate will in-crease with right-sided heart failure.
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A client with a large abdominal wound requires a dressing change every 4 hours. The client will be discharged to the home setting, where the dressing care will be continued. Which of the fol-lowing is true concerning this client's wound healing process?
1. An antiseptic agent is best followed with a rinse of sterile saline solution. 2. A heat lamp should be used every 2 hours to rid the wound area of contaminants. 3. Sterile technique should be emphasized to the client and family. 4. A dressing covering will allow the wound area to remain moist.
The nurse has provided a client education about enoxaparin (Lovenox). Which statement made by a client indicates an understanding of the information?
A. "Enoxaparin inhibits the synthesis of prostaglandins." B. "Enoxaparin increases the time it takes for me to form a clot." C. "Enoxaparin dissolves small clots so I won't have a stroke." D. "Enoxaparin increases the flexibility of my blood cells."
In caring for a baby with non–life-sustaining defects, the nurse will most likely make decisions based on
a. personal ethical beliefs and values. b. treating all patients equally. c. treating all patients with respect and cour-tesy. d. the futility of life issue.
The client is going to be started on cholestyramine (Questran), 6 mg, three times daily. What instruction should the nurse provide to this client?
1. Take with large amounts of fluid. 2. Take in the morning. 3. Take with food. 4. Take without food.