The nurse is admitting to the medical-surgical unit an older adult woman with a diagnosis of pulmonary hypertension and right-sided heart failure
The patient is complaining of shortness of breath, and the nurse observes conversational dyspnea. What is the first action the nurse should take?
a. Review and implement the primary care provider's prescriptions for treatments.
b. Perform a quick physical examination of breathing, circulation, and oxygenation.
c. Gather a thorough medical history, including current symptoms, from the family.
d. Administer oxygen to the patient through a nasal cannula.
ANS: B
You might also like to view...
The home health nurse is assisting a patient and his family in planning the patient's return to work after surgery and the development of postsurgical complications
The nurse is preparing a plan of care that addresses the patient's multifaceted needs. To which level of Maslow's hierarchy of basic needs does the patient's need for self-fulfillment relate? A) Physiologic B) Transcendence C) Love and belonging D) Self-actualization
A patient who takes sodium bicarbonate is scheduled for gastric acid analysis. For how many hours before the test should the drug be withheld?
a. 24 hours b. 16 hours c. 12 hours d. 8 hours
A client diagnosed with acquired immunodeficiency syndrome (AIDS) 6 years ago has a purple lesion located on the inner thigh. This lesion is most likely to be:
1. AIDS-related syndrome. 2. Burkitt's lymphoma. 3. cachexia. 4. Kaposi's sarcoma.
Which dysrhythmia is considered life threatening?
A. P wave normal; atrial rate > 100; QRS complex width 0.06-0.08 second B. P wave normal; atrial rate< 60; QRS complex width 0.08 second C. P wave none identifiable; atrial rate disorganized activity greater 350 beats/min; QRS complex width irregular D. P wave none; atrial rate cannot differentiate; ventricular rate 130-250 beats/min