A client presents to the emergency department (ED) with symptoms of pulmonary edema. It is important for the ED nurse to determine which of the following as part of the client's history?
1. Cardiac and pulmonary history
2. Renal and cardiac history
3. Pulmonary and renal history
4. Recent drug use and past vaccination record
Cardiac and pulmonary history
Rationale: Attempting to determine a cause for pulmonary edema will assist the health care team in providing appropriate care. Cardiogenic and noncardiogenic pulmonary edemas have different approaches to treatment. The renal history will be addressed, but is not a priority assessment when the client first comes to the ED. Recent drug use and past vaccination record will be details the nurse will ask during the admission process, but are not important data initially in the ED when presenting with pulmonary edema.
You might also like to view...
When assessing environmental factors affecting health and illness, the nurse must realize these factors are both physical and social, and that they:
a. affect one another. b. cause illness. c. cause patients to react similarly. d. can be separated.
An example of the resourcefulness of a nurse during the time when the Rural Nursing Service was operating through the American Red Cross was:
a. Using hot bricks, salt, or sandbags to substitute for hot water bottles b. Testing well water for pollutants c. Teaching school and developing curricula for rural nursing programs d. Providing post-surgical care
A client who had surgery for shoulder dislocation is moved to the postoperative nursing care unit. Which nursing step must the nurse perform when providing immediate postoperative care to the client?
A) Avoid cleaning and changing the client's dressing. B) Allow the client's family members to see the client before beginning assessment. C) Position the client's feet in Trendelenburg's position. D) Splint the area over the incision with a pillow or blanket.
The patient has had hypertension for many years. The physician orders an antihypertensive drug that has just come on the market. The nurse teaches the patient that this drug works more effectively than his prior drug and has fewer side effects. The patient asks how this can be. What is the best response by the nurse? Note: Credit will be given only if all correct choices and no incorrect choices
are selected. Standard Text: Select all that apply. 1. "Newer drugs are altered to affect your cells' receptors in a different way." 2. "Receptors tend to ‘burn-out,' so newer drugs are required." 3. "Research into receptors helps ‘fine-tune' drugs to be more effective." 4. "Changing the response of the drug to protein receptor-complexes produces fewer side effects." 5. "It is a process of trial and error with receptors until the new drug proves effective."