A 71-year-old woman with a history of chronic obstructive pulmonary disease (COPD) and congestive heart failure (CHF) has begun tapering off of prednisone
The nurse should prioritize which of the following assessments during this phase of the woman's care? A) Daily weights
B) Level of consciousness assessment
C) Nonstress cardiac testing
D) Positional blood pressure measurement
A
Feedback:
When caring for a patient with COPD and a history of heart failure who takes a tapering dose of prednisone, it is necessary to instruct the patient to check his or her weight daily. The patient should also assess his or her extremities for edema. If the patient's weight increases, edema is evident, and shortness of breath develops, the patient should notify the primary health provider. This potential alteration in fluid balance is more likely than blood pressure changes, decreased LOC, or acute cardiac changes.
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