The nurse is performing an initial assessment on a new patient with suspected right-sided heart failure. Which finding(s) is/are consistent with the patient's potential diagnosis? (Select all that apply.)

a. Clammy skin
b. Splenomegaly
c. Abdominal distention
d. Wheezing
e. Dyspnea


B, C, E
Signs and symptoms of right-sided CHF include fatigue, peripheral edema, gastrointestinal con-gestion and abdominal distention, ascites with liver congestion, splenomegaly, and dyspnea. Clammy skin and wheezing are symptoms of left-sided CHF.

Nursing

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The patient with herpes zoster has pruritus and reports difficulty resting at night. Which intervention will best aid the patient?

1. Encourage the patient to take prescribed antipruritic agents approximately one hour before bedtime. 2. Massage the irritated skin areas with lotion. 3. Apply powder to the lesions. 4. Use heavy bed linens to avoid chilling at night.

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Which of the following statements best describes tolerance of pain medicine?

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Which health team members set and adjust the oxygen flow rate?

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