A patient diagnosed with heart failure asks the nurse if the problem is in the right or left side of the heart. Which symptom would indicate to the nurse that left-sided heart failure is occurring?
1. Elevated neck veins
2. Respiration of 36 per minute
3. Dependent edema
4. Right upper quadrant pain
2
Rationale 1: Elevated neck veins are a symptom of right-sided heart failure.
Rationale 2: The patient with left-sided heart failure has pulmonary involvement and is therefore tachypneic.
Rationale 3: Dependent edema is a symptom of right-sided heart failure.
Rationale 4: The liver may become engorged with right-sided heart failure.
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What is the connecting link between the nervous system and the endocrine system?
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a. a patient classification system to determine safe staffing levels. b. diagnostic-related groups for Medicare billing. c. case management to coordinate care. d. clinical pathways to determine care.
The Preparation for Practice exercises at the end of the chapters that cover a disorder will assist the learner in: Select all that apply
1. Developing a problem-solving approach to nursing care. 2. Gaining experience in critical thinking skills. 3. Developing a systematic method to develop a client's plan of care. 4. Knowing expected client outcomes. 5. Documenting experience with a nursing documentation system.