A nurse is caring for an 80-year-old patient with COPD and suspects right-sided heart failure after assessing and recording the data. What should decrease with right-sided heart failure?
a. Blood pressure
b. Urine output
c. Respirations
d. Heart rate
B
The decreasing urine output is one of the signs. The fluid, instead of being excreted as urine, is trapped in the tissues as edema. Blood pressure, respirations, and heart rate will increase with right-sided heart failure.
You might also like to view...
The nurse sees a visitor exit a client's room into the hallway and faint, falling on the floor unconscious. The nurse has the visitor taken to the Emergency Department, notifies the supervisor, and completes an incident report
The nurse's next action is to: 1. Document in the chart of the client whose room the visitor exited that an event occurred, and describe the event objectively. 2. Initiate a new client medical record for the visitor and document the event objectively. 3. Give the completed report to the nursing supervisor. 4. File the incident report in the chart of the client whose room the visitor exited.
The student studying pediatric cardiac disorders learns that which anomalies comprise the disorder tetralogy of Fallot? (Select all that apply.)
A. An overriding aorta B. Atrial septal defect (ASD) C. Hypertrophic right ventricle D. Pulmonary stenosis or atresia E. Ventricular septal defect (VSD)
What could a registered nurse (RN) delegate to a licensed practical nurse/vocational nurse (LPN/VN) that the RN could not delegate to a nursing assistant?
a. Making beds b. Ambulating the client c. Administering oral medications d. Obtaining a urinary specimen
A nurse is teaching a family about health care plans. Which information from the nurse indicates a correct understanding of the Affordable Care Act?
a. A family can choose whether to have health insurance with no consequences. b. Primary care physician payments from Medicaid services can equal Medicare. c. Adult children up to age 26 are allowed coverage on the parent's plan. d. Private insurance companies can deny coverage for any reason.