A patient is being treated for heart failure. Which of the following is most indicative of improved health status?
A) Decreased pedal edema
B) Increased skin turgor
C) Heart rate of 52
D) Improved sensorium
A
Feedback:
Decreased pedal edema improves cardiac output due to the fact that the patient has diminished fluid volume. Increased skin turgor indicates that the patient is well hydrated and does not have fluid volume excess. A heart rate of 52 is too slow to provide good contractility. Improved sensorium indicates adequate perfusion but is not the most indicative of improved heart failure status.
You might also like to view...
The nurse is caring for a critically ill patient. On the previous shift, a nurse documented "unable to teach due to critical illness." What is the best nursing action by the current nurse to address the patient's teaching and learning needs?
A) Realize that the patient is too ill to accept teaching at this time B) Look for opportunities for teaching, such a procedure explanation C) Focus all teaching efforts on the family to the exclusion of the patient D) Alter the plan of care to delay teaching until transfer to step-down unit
Which condition, not uncommon in pregnancy, is likely to require careful medical assessment during the puerperium?
a. Varicosities of the legs b. Carpal tunnel syndrome c. Periodic numbness and tingling of the fingers d. Headaches
A 4-year-old is hospitalized with a urinary tract infection. Based on what you know of her cognitive development, which approach would be best to prepare her for a radiograph?
A) Explain that she must behave because the technician is busy. B) Tell her she must follow directions or she will be hurt. C) Tell her a radiograph is a picture of the dark inside her body. D) Help her pretend the x-ray machine is a camera.
A myriad of accessible and coordinated services are needed to maintain people in the community with chronic mental illness. Despite inadequate sources, advances have been made in the treatment of mental illness
These advances have been influenced by: 1. The movement of clients out of mental institutions to the community 2. A better understanding of the neurobiology of mental illness 3. More interest in helping persons with mental illness 4. A change in the culture about what constitutes mental illness