The nurse is performing an admission assessment on a client who presents to the emergency department (ED) complaining of poor appetite, bloated abdomen, and peripheral edema. The nurse recognizes these symptoms as:
1. Right-sided failure.
2. Left-sided failure.
3. Diastolic dysfunction.
4. A myocardial infarction.
Right-sided failure.
Rationale: Right-sided failure includes symptoms of poor appetite, nausea, vomiting, bloated abdomen, ascites, and peripheral edema. Left-sided failure symptoms include a cough, shortness of air, orthopnea, and activity intolerance. Diastolic dysfunction symptoms are often similar to systolic dysfunction symptoms. A myocardial infarction (MI) may initially cause the insult to the cardiac system that results in heart failure.
You might also like to view...
The client is emotionally upset about the recent diagnosis of stage IV endometrial cancer. Which action by the nurse is best?
a. Let the client alone for a long period of reflection time. b. Ask friends and relatives to limit their visits. c. Tell the client that an emotional response is unacceptable. d. Create an atmosphere of acceptance and discussion.
What drug does the nurse administer that inhibits intestinal peristalsis through direct effects on the longitudinal and circular muscles of the intestinal wall?
A) Bismuth subsalicylate B) Loperamide C) Paregoric D) Magnesium citrate
A client presents in the emergency department with complaints of lightheadedness, dizziness, and shortness of breath
The cardiac monitor shows the client to be in atrial fibrillation with a ventricular rate of 156. Which finding from the client's history is least likely to have resulted in this rhythm disorder? 1. Hypertension 2. Type II diabetes 3. Congestive heart failure 4. Benign prostatic hyperplasia
You are a new nurse on an orthopedic unit, and you are learning how to integrate delegation into your daily work. What might be important for you to consider to improve your delegation?
1. Organize your work and consider who is best to do what tasks and when. 2. When you delegate, do not overburden UAPs as they will work harder if they like you. 3. Recognize that your performance appraisal will depend on demonstrating that you are able to do the entire job. 4. After you delegate to UAPs, you will have minimal contact with patients UAPs are caring for.