A 54-year-old man has a myocardial infarction, resulting in left-sided heart failure. The nurse caring for the man is most concerned that he will develop edema in what area of the body?
A) Abdominal
B) Liver
C) Peripheral
D) Pulmonary
D
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Pulmonary edema can occur when the heart is damaged and the left side of the heart is unable to effectively pump blood returning from the right side of the heart into systemic circulation. This lack of blood movement out of the lungs results in an increased hydrostatic pressure in the capillary beds of the lungs and the result can be pulmonary edema. Abdominal, liver, and peripheral edemas occur when the right side of the heart is failing and the returning venous blood pools in the organs and periphery.
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The student nurse caring for clients who have cancer understands that the general consequences of cancer include which client problems? (Select all that apply.)
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A patient is admitted from the emergency department. The emergency department physician notes the patient has a diagnosis of heart failure with a New York Heart Association (NYHA) classification of IV. This indicates the patient's condition as
a. moderate heart failure. b. severe heart failure. c. congestive heart failure. d. negligible heart failure.
The mother of a 1-month-old infant calls the nurse who works in the health clinic. The mother is concerned because the infant has had vomiting and diarrhea for 2 days. What instruction should the nurse give this infant's mother?
1. Bring the infant to the clinic for evaluation. 2. Give the infant at least 2 ounces of juice every 2 hours. 3. Measure the infant's urine output for 24 hours. 4. Provide the infant with 50 mL of glucose water.
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