Which statement made by a client would alert the nurse to the possibility of right-sided heart failure?
A. "I sleep with four pillows at night."
B. "My shoes fit really tight."
C. "I wake up coughing every night."
D. "I have trouble catching my breath."
B
Signs of systemic congestion occur with right-sided heart failure. Fluid is retained, pressure builds in the venous system and peripheral edema develops.
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1. Sitting quietly with patient. 2. Showing empathy toward the patient. 3. Showing sympathy toward the patient. 4. Sharing personal information with the patient.
The nurse is explaining to a nursing student the importance of making sure the patient is wearing his sequential compression devices (SCDs) when in bed
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A nurse is teaching a postoperative patient how to use an incentive spirometer. Which of the following is an accurate step that should be included in the teaching plan?
A) Instruct the patient to inhale normally and then place the lips securely around the mouthpiece. B) Instruct the patient to inhale slowly and as deeply as possible through the mouthpiece without using the nose. C) When the patient cannot inhale anymore, the patient should hold his or her breath and count to 10. D) Encourage the patient to perform incentive spirometry two to three times every 1 to 2 hours, if possible.