The nurse is assessing a client with left-sided heart failure. What conditions does the nurse assess for? (Select all that apply.)
a. Pulmonary crackles
b. Confusion, restlessness
c. Pulmonary hypertension
d. Dependent edema
e. S3/S4 summation gallop
f. Cough worsens at night
A, B, E, F
Left-sided failure occurs with a decrease in contractility of the heart or an increase in afterload. Most of the signs will be noted in the respiratory system. Right-sided failure occurs with prob-lems from the pulmonary vasculature onward. Signs will be noted before the right atrium or ven-tricle.
You might also like to view...
A 28-year-old male who is 6?11? tall has a diagnosis of acromegaly. The man is explaining to a curious but sympathetic coworker exactly what accounts for his extraordinary height
Which of the following explanations demonstrates a sound understanding of his health problem? A) "My pituitary gland produced a much higher than normal amount of growth hormone when I was a child." B) "A tumor in my brain threw off my hormone levels after I was finished adolescence." C) "My liver is malfunctioning and produces too many of the hormones that ultimately cause growth." D) "The high sugar levels that go along with my diabetes made my pituitary gland overproduce the hormones that cause you to grow."
The healthcare provider has ordered enteric-coated aspirin for the client. Which statement by the nursing student to the faculty member about enteric coated tablets is incorrect?
A) Can not be crushed. B) Dissolve in more alkaline secretions of the intestine. C) Have a longer duration of action than other tablets. D) Enteric coating reduces the chance that the drug will irritate the gastric mucosa.
Iron deficiency anemia is a frequent complication of clients receiving chronic dialysis
Indicate whether the statement is true or false.
A patient is transferred from the postanesthesia care unit (PACU) to the clinical unit. Which action by the nurse on the clinical unit should be performed first?
a. Assess the patient's pain. b. Orient the patient to the unit. c. Take the patient's vital signs. d. Read the postoperative orders.