A patient with CKD is restless, anxious, and short of breath. The nurse hears crackles that begin at the base of the lungs. The pulse rate is increased and the patient has frothy, blood-tinged sputum. What does the nurses do first?
a. Facilitate transfer to the ICU for aggressive treatment.
b. Place the patient in a high-Fowler's position
c. Continue to monitor vital signs and assess breath sounds.
d. Administer a loop diuretic such as furosemide (Lasix).
Answer: b. Place the patient in a high-Fowler's position
You might also like to view...
The nurse is caring for a client who is prone to falls. Which nursing diagnosis would be most appropriate for this client?
A) Risk for Injury B) Risk for Suffocation C) Deficient Knowledge D) Risk for Disuse Syndrome
The nurse is assessing an African American client for signs of cyanosis. Which assessment finding is documented as cyanosis?
A) A grayish cast to the skin B) A bluish tinge to the hands and feet C) Paleness of the internal lid of the eye D) Bluish tinged to the nail beds
The average man is taller than the average woman at maturity because of
a. A longer period of skeletal growth b. Earlier development of secondary sexual characteristics c. Earlier onset of growth spurt d. Starting puberty at an earlier age
Reuben, aged 24 years, has HIV and just had a routine viral load test done. The results show a falling viral load. What does this indicate?
a. A favorable prognostic trend b. Disease progression c. The need to be more aggressive with Reuben's medications d. The eradication of the HIV