A nurse is evaluating teaching for a client who has heart failure quizlet. 5 Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has alcohol use disorder and is admitted with lower extremity fractures following a motor-vehicle crash. Agonal breathing, The nurse is obtaining data to assess a client for fluid Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to analyze a client's electrocardiogram (ECG) strip. Which of the following 3 statements by the client indicates an understanding of the teaching? The nurse is providing teaching for the client who has diarrhea. The nurse should monitor the client for which of the following electrolyte imbalances ? - Hypernatremia - Hyperuricemia - Hypercalcemia - Hyperchloremia, A nurse is preparing to administer digoxin to a client who has heart failure. Which of the following statements by the client indicated understanding of the teaching? A. A 2-lb weight Study with Quizlet and memorize flashcards containing terms like Which position would the nurse plan to use for the client who is having a hypertensive crisis and evolving stroke? A. " 3. " This drug will slow your heart rate down. Myocarditis d. Which of the following findings should the nurse plan to monitor for and report to the provider immediately?, A nurse is teaching a client who has a new prescription for an ACE inhibitor to treat hypertension. Which client is at GREATEST risk for dehydration? a. Weight loss. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. " A nurse in a providers clinic is caring for a client who has heart failure. Which of the following actions is appropriate? *Withholding the medication if the heart rate is above 100/min Instructing the client to eat foods that are low in potassium Measuring apical pulse rate for 30 seconds before administration *Evaluating the client for nausea, vomiting, and anorexia Study with Quizlet and memorize flashcards containing terms like 1. A 55 year old who recently received intravenous fluids c. "Kidneys balance the fluid and electrolytes in my body. Which of the following laboratory values should the nurse review? A. It indicates alkalosis. incompetent jugular vein pressure, The nurse is caring for a patient A nurse is caring for a client who had a myocardial infarction 5 days ago. " "I will use salt substitutes on my food. Modifies favorite recipes by eliminating foods that have to be avoided 2. Which of the following laboratory values will the nurse monitor closely? A. Remaining sedentary for most of the day. Place the following steps the nurse should take in order from first to last. , A nurse is providing discharge education to a client who has hypokalemia. 25 mg/tablet. Question: A nurse is evaluating teaching for a client who has heart failure. Which of the following findings would indicate that the IV albumin has been effective?, The nurse is caring for a client receiving IV heparin infusion and oral warfarin after Study with Quizlet and memorize flashcards containing terms like A student nurse is assessing the peripheral vascular system of an older adult. , In preparing for discharge teaching, which of the following actions can the client take to most accurately monitor for an exacerbation of chronic heart failure?, When a client is admitted for Study with Quizlet and memorize flashcards containing terms like What are the clinical manifestations of myocardial infarction in women? Select all that apply. "Avoid using aspirin-containing products. Which of the following statements best describes the presentation that the nurse should anticipate? The client: Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who has just experienced an acute myocardial infarction and is diagnosed with "pump failure. "I may develop a slow heartbeat while taking Bupropion. Which of the following nursing interventions are A nurse is caring for a client who is newly admitted and has angina. Encourage the client to occasionally have foods but not on a low-sodium diet b. 0 nanograms/mL d) 0. tells the home care nurse that furosemide (Lasix) is taken daily at bedtime. Cardiac dysrhythmias D. 7, RN QSEN Study with Quizlet and memorize flashcards containing terms like A nurse manager is evaluating the time-management strategies of a newly licensed nurse. " The nurse is aware that the client is experiencing which type of shock?, A 20-year-old college student has a pelvic fracture and a severed leg from a motorcycle accident. , A nurse in a provider's clinic is caring for a client who has heart failure. incompetent jugular vein valves. WBC count B. "I will instill normal saline bullets The client has an increased risk of hypotension (option 2) because hypotension is a common adverse effect of bumetanide, this is the second dose within 4 hours, and the client has heart failure. An 83 year Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient who is receiving IV furosemide (Lasix) and morphine for the treatment of acute decompensated heart failure (ADHF) with severe orthopnea. Phosphorus D Potassium, In assessing a client admitted 24 hours ago with heart failure, the nurse notes that the client has lost 2. A client who has fluid Study with Quizlet and memorize flashcards containing terms like Which of the following complications is the client at risk for developing? (SATA), Drag words from the choices below to fill in each blank in the following sentence. " b. Dysrhythmias b. Which of the following statements by the client indicates an understanding of the teaching? "I will increase my intake of citrus fruits, bananas, and potatoes. Rationale: Dark or tarry stools may indicate gastrointestinal bleeding, which is a possible adverse effect of both aspirin and clopidogrel. Brawny edema c. Collecting data related to outcome attainment requires the nurse to know when to collect the data, based upon established time criteria. The nurse expects to assess for: Hand tremors. Hematocrit, A nurse is caring for a client who had a myocardial infarction 5 days ago. Which statements made by the client indicate an understanding of the teaching? ALA 1. Drink 3 liters of fluid per day. The client Study with Quizlet and memorize flashcards containing terms like A nurse must immediately report serum digoxin levels greater than? (Choose one) a) 2. What medication does the A nurse is preparing to analyze a client's electrocardiogram (ECG) strip. Which of the following manifestations should the nurse expect? Flushing of the skin on exertion Nocturia at night Warm lower extremities Respiratory rate of 16/min, A nurse is assessing a client who is restricted to bedrest for Study with Quizlet and memorize flashcards containing terms like When describing consumer informatics to a group of nurses, which factor would the nursing informatics specialist identify as contributing to its development? p. Side-lying C. auscultate lung sounds D. Which of the following instructions should the nurse include in the teaching Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has heart failure and is receiving IV furosemide . Tightness of the chest, The nurse provides discharge teaching to a client who has received prescriptions for digoxin, furosemide, and a 2-gram sodium diet. 4. Which of the signs and symptoms listed by the patient need to be addressed immediately by the nurse?, The nurse is reviewing a patient's medical 2. What should May 19, 2022 · The 2022 AHA/ACC/HFSA Guidelines for Heart Failure Management recommends quadruple therapy (ARNI, BB, MRA, SGLT2I) up-titrated to target or maximally tolerated doses for patients diagnosed with heart failure with a reduced ejection fraction to reverse, stabilize, or slow disease progression. Ototoxicity D. 12), Nutrition Across the Lifespan: Planning Breastfeeding Care for a Client (RM Nutrition 6. Hyperthermia B. "I know to call my doctor if I gain 3 pounds or more in 2 days. Which of the following statements by the nurse indicates that the client understands the pathophysiology of valvular regurgitation?, A nurse is reviewing the medical history of a client who has heart failure. Trendelenburg, Which topic will the nurse include in teaching for a client with Raynaud disease? A. Which of the following does this describe? 1. Supine B. Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing the lab report of a client who has a mag level of 1. Lay the client flat in bed. During a nutrition consultation for elevated cholesterol, the dietician recommends that the client replace saturated fats with monounsaturated or polyunsaturated fats. The client will turn, cough, and deep breathe every 2 hours. Which of the following statements by the client indicates the client is experiencing digoxin toxicity ?, A nurse is assisting with the plan of care for a client who has a new deep - vein thrombosis ( DVT ) in his leg . A few hours after admission, the client develops restlessness and tremors. Unusual fatigue D. "Check your pulse daily. Restricting fluids 3. Uses an additional pillow to sleep when feeling short of breath at night. When describing consumer informatics to a group of nurses, which factor would the nursing informatics specialist identify as contributing to its development? A) The declining costs of healthcare B) The complexity of navigating the Internet C) Desire by consumers for increased responsibility D) The continued pervasive culture Study with Quizlet and memorize flashcards containing terms like 1. , 3. Prothrombin time C. A 36 year old who is prescribed long-term steroid therapy b. Which of the following heart sounds should the nurse document? Study with Quizlet and memorize flashcards containing terms like 1) The nurse has provided client education about the function of the renal system. Muscle pain, A nurse is teaching the partner of a client who had an acute Study with Quizlet and memorize flashcards containing terms like A patient arrives at the cardiac clinic for a 3-month follow-up. Which of the signs and symptoms listed by the patient need to be addressed immediately by the nurse? Select all that apply. Metallic taste in A nurse is auscultating the heart sounds of a client who has developed chest pain that worsens with inspiration. While assessing a 68-year-old with ascites, the nurse also notes jugular venous distention (JVD) with the head of the patient's bed elevated 45 degrees. Which action by the new RN indicates a need for more education?, Increased cardiac workload with left heart failure can result in which of the following change to the myocardial cells?, While teaching a client with new Study with Quizlet and memorize flashcards containing terms like A client asks the nurse how hypertension can lead to heart failure. , 2 A nurse will be providing care for a female patient who has a diagnosis of heart failure that has been characterized as being primarily right-sided. " I can drink one glass of wine with dinner each day while Study with Quizlet and memorize flashcards containing terms like An older adult client with heart failure and 2+ pitting edema is prescribed furosemide. Due to the effects of furosemide, which additional medication should the nurse recommend to the client to supplement when taking furosemide?, A physician orders digoxin elixir for a client with heart failure. B. Ankle-brachial index (ABI) > 0. , A client diagnosed with chronic cirrhosis has ascites and pitting peripheral edema as well as hepatic encephalopathy. which of the following findings is most concerning and should be prioritized for reporting to the HCP 1. Elevate the client's head to 90 degrees. Palpating both Study with Quizlet and memorize flashcards containing terms like Which statement related to the evaluation of outcome attainment for a client is correct? The nurse should initially evaluate the plan of care at the time of the client's discharge. Use a leading zero if it applies. "Kidneys help the heart by balancing potassium. , A nurse in a provider's clinic is caring for a client who has heart Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with weak pedal pulses, absent hair on bilateral legs, and a full-thickness wound on the right lateral malleolus with defined margins, including a minimal amount of serous exudate. What can the nurse suggest to help relieve leg pain during rest? a. "Prior to suctioning, I will hyper-oxygenate the client. The client has a sudden onset of shortness of breath and begins coughing frothy, pink sputum. "Avoid using salt substitutes. Which information reported by the client is most important to report to health care provider?, Which topics will the nurse plan to include in discharge Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has left-sided heart failure with decreased cardiac output. The nurse auscultates loud, bubbly sounds on inspiration. It indicates a respiratory problem. What action by the nurse will provide this information? a. Complete the following sentence by using the list of options. The client has nausea, blurred vision, H/A and weakness. Which of the following interventions is contraindicated?, The nurse is caring for a client who has just been A. jugular vein atherosclerosis c. Tells the home care nurse that furosemide is taken daily at bedtime. Which information is most important for the client to acknowledge? Study with Quizlet and memorize flashcards containing terms like When a person works to prevent relapse and to sustain the gains made from actions taken, he or she is in which stage of the Transtheoretical Model of Chang?, Which factor is a leading health indicator used to measure the health of the nation?, The nurse is providing discharge instructions to an elderly client. C. Which Study with Quizlet and memorize flashcards containing terms like The nurse is teaching a client about lifestyle modifications after a heart failure diagnosis. The client exhibits signs of dehydration, and laboratory results identify the presence of hypokalemia. Sleep disturbances E. A nurse is evaluating the central venous pressure (CVP) of a client who has sustained multiple traumas. Which assessment result obtained the day after admission is the best indicator that the treatment has been effective?, The nurse is caring for an 82-year-old client admitted for exacerbation of heart failure Study with Quizlet and memorize flashcards containing terms like A patient with a history of chronic heart failure is admitted to the emergency department with severe dyspnea and a dry, hacking cough. 0 nanograms/mL b) 1. 90 d. SaO2 86% on room air, A nurse is caring Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client diagnosed with heart failure who is taking digoxin and furosemide. Congenital heart disease, 2. Which action should the nurse do first?, The nurse is caring for a patient who is receiving IV furosemide (Lasix) and morphine for the treatment of acute decompensated heart failure (ADHF) with A client who has been taking digoxin for 20 years is hospitalized. " C. Study with Quizlet and memorize flashcards containing terms like A nurse in a clinic is caring for a client who has heart failure and taking digoxin . The client has a pH of 7. 35. " Study with Quizlet and memorize flashcards containing terms like The clinic nurse is evaluating a client who had coronary artery stenting through the right femoral artery a week previously and is taking metoprolol, clopidogrel, and aspirin. the client Study with Quizlet and memorize flashcards containing terms like Which assessment finding of a client with heart failure would prompt the nurse to contact the health care provider? Select all that apply. Select three client statements that indicate an under-standing of the teaching: a. Evaluates the benefits associated with avoidance of certain foods 3. Platelet count D. The questionnaire asks the patient to describe heart failure (HF) signs and symptoms experienced in the previous 4 weeks. The product of which factors determine a client's cardiac output? Heart rate and ejection fraction Heart rate and urinary output Stroke volume and urinary output Stroke volume and heart rate, A nurse is on orientation in the coronary -Assist the client to a left side-lying position with the right knee flexed. Maintaining a low-fiber diet, A client who has undergone a subtotal gastrectomy is being prepared for discharge. a nurse is providing discharge teaching for a client who has heart failure and is on a fluid restriction of 2,000 mL/day. assist the client into high-Fowler's position C. For which of the following adverse effects should the nurse monitor when giving this medication? A. Which of the following heart sounds should the nurse document? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has heart failure and reports increased shortness of breath. Which clinical finding is the best indicator that the treatment has been effective? a. the client asks the nurse why am I taking nitroglycerin which of the following responses should the nurse make? Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart. Assessment reveals tachycardia and reduced energy. -Prepare the client for a chest x-ray. Hourly urine output greater Study with Quizlet and memorize flashcards containing terms like A client has an inoperable abdominal aortic aneurysm (AAA). , The Jul 31, 2024 · Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with right-sided heart failure. A nurse is evaluating teaching for a client who has heart failure. , The Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has acute renal failure. incompetent jugular vein valves Study with Quizlet and memorize flashcards containing terms like A nurse is evaluating a patient's learning regarding nutrition. Which of the following actions should the nurse take first? A. , A nurse is caring for a client who has a new diagnosis for seizure disorder. While assessing a 68-yr-old with ascites, the nurse also notes jugular venous distention (JVD) with the head of the patient's bed elevated 45 degrees. 0 Chp. The nurse should instruct the client that which of the following foods contain less than 300 mg of sodium per serving? (Select all that apply. , The client has a hx of HF and has been given furosemide, digoxin, and potassium chloride. Tobacco avoidance B. Which statement by the client indicates to the nurse the client understands the teaching?, A nurse is planning care for a client who has a Study with Quizlet and memorize flashcards containing terms like 1. 199 A) The declining costs of healthcare B) The complexity of navigating the Internet C) Desire by consumers for increased responsibility, A client presents to the clinic Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with right-sided heart failure. A nurse is auscultating the heart sounds of a client who has developed chest pain that worsens with inspiration. Maintaining a high-fiber diet. The nurse knows this finding indicates a. " B. Lowers the amount of low density lipoprotein (LDL Study with Quizlet and memorize flashcards containing terms like The client with heart failure asks the nurse about the reason for taking enalapril maleate. Sodium C. the client has a heart rate of 68 down from 80 3. Which information reported by the client is MOST important to report to the health care provider? 1. The nurse is caring for a client who is receiving IV furosemide and morphine for the treatment of acute Study with Quizlet and memorize flashcards containing terms like A nurse is assisting in the care of a client who has hypermagnesemia who was admitted to the medical surgical floor. Assess for P waves F. Presence of a nonproductive cough C. "Hypertension limits the ability of the heart to stretch before emptying resulting in the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client with severe anemia. Study with Quizlet and memorize flashcards containing terms like 1. The client has mild asthma, diabetes mellitus, and coronary artery disease. increased right atrial pressure. Weight loss of 2 pounds in 24 hours b. States why a mother's diet may affect Study with Quizlet and memorize flashcards containing terms like Cardiovascular and Hematologic Disorders: Dietary Management for an Older Adult Client Who Has Heart Failure (RN QSEN - Patient-centered Care, Active Learning Template - System Disorder, RM Nutrition 6. Auscultating the carotid arteries for any bruits c. Classifying capillary refill of 4 seconds as normal d. Dietary salt reduction C. What action by the student would cause the faculty member to intervene? a. Study with Quizlet and memorize flashcards containing terms like Which assessment is most important for the nurse to implement when seeing a client with multiple myeloma?, The nurse plans to evaluate the effectiveness of a bronchodilator. 0 nanograms/mL c) 3. Need for increased exercise Study with Quizlet and memorize flashcards containing terms like A client with advanced cirrhosis has been diagnosed with hepatic encephalopathy. Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. The nurse is evaluating the client's understanding of the teaching. The nurse is evaluating the client's data collection findings at the follow-up visit. The nurse hands the Study with Quizlet and memorise flashcards containing terms like 1. " c. Kussmaul respirations 2. What would Study with Quizlet and memorize flashcards containing terms like 2 A nurse is providing teaching to a client who has heart failure and is taking spironolactone. Encourage the client to forget about Study with Quizlet and memorize flashcards containing terms like The nurse is evaluating the effectiveness of the treatment regimen for a client with liver cirrhosis who received IV albumin following a paracenteses. Malaise. d. , 2 Study with Quizlet and memorize flashcards containing terms like While assessing a 68-year-old with ascites, the nurse also notes JVD with the head of the patient's bed elevated 45 degrees. b. " d. Which response should the nurse provide the client? A. Three (3) ounces Atlantic salmon D. What is the result of an acute or chronic cardiopulmonary problem in a client with heart failure?. uses an additional pillow to sleep when feeling short of breath at night. The nurse is evaluating the client's understanding of the teaching. Measure duration of QRS complex, A nurse is The nurse is evaluating a client's blood gases. Border regular and well demarcated b. Determine rhythm regularity E. increased right atrial pressure d. The nurse notes that the client is A nurse is teaching a client who has heart failure about reducing dietary sodium intake. Which assessment datum indicates that the desired effect of a bronchodilator has been achieved?, The nurse assists the health care provider with an Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Which measure should the nurse anticipate reinforcing when teaching the client? 1. Select the 3 client statements that indicate an understanding of the teaching. The nurse should monitor the client for which clinical finding indicating digoxin toxicity? A. "Take your medication with food. "Hypertension causes resistance in the venous system requiring the heart to work harder to pump the blood forward. Which of the following should the nurse expect?, A nurse is caring for a client who has breast cancer and has been receiving chemotherapy. Nesiritide (Natrecor) has been ordered. Fluid overload Rationale: The CVP is the pressure in the vena cava, or right atrium, and is reflective of preload. She lost several units of blood Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with heart failure who has a pattern of shallow respirations building to deep breaths, followed by apnea. The client will need to continue on the medications but may need treatment with proton pump inhibitors or histamine2 blockers to decrease risk for Study with Quizlet and memorize flashcards containing terms like While assessing a 68-yr-old with ascites, the nurse also notes jugular venous distention (JVD) with the head of the patient's bed elevated 45 degrees. Which symptoms can they expect to find? Select all that apply. c. decreased fluid volume b. It is within a normal range. One, some, or all responses may be correct. , A nurse is assisting with admitting a client to a health care facility. " "I will drink as much water as I Study with Quizlet and memorize flashcards containing terms like A patient arrives at the cardiac clinic for a 3-month follow-up. One (1) ounce part-skim mozzarella cheese B. Study with Quizlet and memorize flashcards containing terms like Stools have been black in color. ) A. Bradypnea 4. Which of the following 3 statements by the client indicates an understanding of the teaching? "I have been weighing myself every other morning. , In preparing for discharge teaching, which of the following actions can the client take to most accurately monitor for an exacerbation of chronic heart failure?, When a client is admitted for Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who has heart failure and a history of asthma the nurse reviews the providers orders and recognizes that clarification is needed for which of the following medications, a nurse is caring for a child who has asthma and a prescription for montelukast granules which of the following instructions should Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client about the pathophysiology of valvular regurgitation. Orthopneic D. Study with Quizlet and memorize flashcards containing terms like The clinic nurse is evaluating a client who has coronary artery stenting through the right femoral artery a week previously and is taking metoprolol, clopidogrel, and aspirin. During discharge teaching, the nurse discusses the parameters for weight monitoring with a client who was recently diagnosed with heart failure (HF). Which of the following actions should the nurse identify as an indication of correct use? The top of the cane is parallel to the client's waist. These measures include that the patient with HF has: • Discharge instructions (including information on diet, activity, medications, weight monitoring, and planning for worsening symptoms) • Evaluation of left ventricular systolic function • An ACEI or ARB for left ventricular systolic Study with Quizlet and memorize flashcards containing terms like A nurse assesses clients at a family practice clinic for risk factors that could lead to dehydration. Hourly urine output greater than Study with Quizlet and memorize flashcards containing terms like A nurse is evaluating a client's use of a cane. It indicates acidosis. the client has a blood pressure of 150/90 2. The client will have an audible S1 and S2 with no S3 heard by the end of shift. Avoid any alcohol. Which of the following assessments provides the most accurate measure of client's fluid status?, A nurse is teaching a client who has lower extremity weakness how to use a 4-point crutch gait. ), A nurse is assessing a client Study with Quizlet and memorize flashcards containing terms like The nurse is performing an assessment on a 57-year-old client with newly diagnosed heart failure. Which of the following conditions is a cause of chronic heart disease? a. which of the lab values will you report to the provider?, A nurse is planning teaching for a client who is at Study with Quizlet and memorize flashcards containing terms like A nurse plans to have an education session with a client who has cardiomyopathy and the client's spouse about ways to decrease the sense of powerlessness. Cheyne-Stokes breathing 3. What will be included in the teaching? Engage in exercise daily. Which of the following interpretations of a low CVP pressure should the nurse make? A. A client with heart failure is prescribed enalapril (Vasotec). Which of the following findings indicates effective treatment of the client's condition? A. Absence of adventitious breath sounds B. Edema may be severe, The nurse is caring for a patient with peripheral arterial insufficiency. Hypotension C. Available is digoxin PO 0. Study with Quizlet and memorize flashcards containing terms like A client admitted for heart failure has a priority problem of hypervolemia related to compromised regulatory mechanisms. What action should the nurse perform during this assessment? Press above the client's symphysis pubis. Bed rest 2. The nurse is developing a discharge-teaching plan for the client diagnosed with heart failure. Fatigue Orthopnea Pitting edema Dry hacking cough 4-pound weight gain All of the above, The client with congestive heart failure is receiving Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing teaching with a 70 year old client about the risk factors for heart failure. Which of the following statements by the client indicates an understanding of the teaching?, A nurse is auscultation the lungs of a client who is having an Study with Quizlet and memorize flashcards containing terms like A nurse is evaluating teaching for a client who has newly diagnosed depressed and a new prescription for bupropion. Antihypertensives 4. What explanation should the practical nurse reenforce with the client about this change in fat in the diet? A. obtain the client's weight B. " "I am eating fewer potato chips and more fruit for snacks. Press the right upper abdomen. " 2. , The nurse is assigned to care for a client with heart failure. bruising is present Aug 6, 2024 · The nurse working in the heart failure clinic will know that teaching for a client with newly diagnosed heart failure has been effective when the client does which of the following actions? a. check oxygen saturation with pulse oximeter, A nurse is teaching a Study with Quizlet and memorize flashcards containing terms like While assessing a 68-yr-old with ascites, the nurse also notes jugular venous distention (JVD) with the head of the patient's bed elevated 45 degrees. " "I am limiting my sodium intake to 2 grams daily. The client can prove that the nurse did not protect him by failing to provide adequate teaching and perform correct and timely nursing interventions Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client. Do not use a trailing zero. Celebrating Study with Quizlet and memorize flashcards containing terms like Which of the following is a characteristic of an arterial ulcer? a. Walking 2 miles everyday. Stools have been black in color 2. What signs and symptoms might develop if this client goes into heart failure?, A client reports feeling tired, cold, and short of breath at times. Pulmonary embolus c. Immediately before administering Study with Quizlet and memorize flashcards containing terms like The charge nurse is evaluating knowledge of tracheostomy suctioning of a new nurse prior to that procedure being performed. Which of the following 3 statements by the client indicates an understanding of the teaching? A nurse is evaluating teaching for a client who has heart failure. Calculate HR B. The nurse hears a high-pitched scratching sound with the diaphragm of the stethoscope placed at the third intercostal space of the left sternal border. Observe for changes in T wave D. " This drug will constrict your blood vessels and keep your blood pressure from getting too low. While assessing a 68-year-old with ascites, the nurse also notes jugular venous distention (JVD) with the head of the patients bed elevated 45 degrees. decreased fluid volume. jugular vein atherosclerosis. Constipation B. Which statement by the new nurse would indicate to the charge nurse that additional education is needed? 1. Which of the following actions taken by the nurse are effective time-management strategies? (Select all that apply), A nurse is receiving report on a client who has Clostridium difficile and is being transferred from another unit. Restrict dietary potassium. Measure PR interval C. 0mEq/L. A 76 year old who is cognitively impaired D. How does the nurse interpret this value? a. the client asks the nurse how to determine the appropriate amount of fluids he is allowed. Which of the The nurse's comprehensive assessment of a client who has heart failure includes evaluation of the client's hepatojugular reflux. " "I am trying to decrease my intake of foods with potassium. Indigestion C. Calcium B. Which of the following adventitious breath sounds should the nurse document? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has heart failure and is experiencing atrial fibrillation. When preparing A nurse is preparing to administer digoxin to a client who has heart failure. Which behavior reflects the highest level of learning in the cognitive domain? 1. Which of the following medications should the nurse anticipate administering to the client first?, A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse preceptor is evaluating the skills of a new registered nurse (RN) caring for clients experiencing shock. "I know to call my doctor if I gain 3 pounds or more in 2 days" Try a quiz for Nursing, created from student-shared notes. " This drug will dilate your blood vessels and lower Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has pulmonary edema related to heart failure. Obtaining daily weights at the same time everyday D. Decreased urination C. Study with Quizlet and memorize flashcards containing terms like A nurse in a provider's clinic is caring for a client who has heart failure. The nurse is caring for a client with chronic heart failure. The client holds the cane on the stronger side of her body. Anoxia B. Stomatitis. The client will have a Sao2 reading of 98% by day 2 of care. Which of the The nurse working in the heart failure clinic will know that teaching for a 74-year-old patient with newly diagnosed heart failure has been effective when the patient a. When walking, the client moves the cane 46 cm (18 in) forward. A. Assessing blood pressure in both upper extremities b. , which of the following statements indicate the client understands the . " Study with Quizlet and memorize flashcards containing terms like 1. The nurse should tell the client: A. Decrease in respiratory rate at rest D. 3. Measure duration of QRS complex The Heart Failure Core Measure Set must be determined for hospitals accredited by The Joint Commission. One (1) medium beef hot dog C. A nurse is assisting in the care •How to monitor and record daily weight •Symptoms of worsening heart failure •How to read food labels for sodium content •Date and time for follow-up appointments •To avoid rehospitalization, topics that should be included when discharging a client with heart failure include low-sodium diet, purpose and common side effects of medications such as angiotensin-converting enzyme Study with Quizlet and memorize flashcards containing terms like ***, The nurse is caring for a patient who is receiving IV furosemide (Lasix) and morphine for the treatment of acute decompensated heart failure (ADHF) with severe orthopnea. The client Study with Quizlet and memorize flashcards containing terms like 1. which of the following statements is an appropriate response by the nurse? - "pour the amount of fluid you drink into an empty 2-liter bottle to keep track of how much you drink A nurse is evaluating a client with hypertension and benign essential tremor who just started Propranolol 3 hours ago for treatment. Elevating Study with Quizlet and memorize flashcards containing terms like A nurse is evaluating a client's repeat laboratory results 4 hr after administering fresh frozen plasma (FFP). "Kidneys keep blood pressure from getting too low A nurse in a provider's clinic is caring for a client who has heart failure. What is the nurse's priority teaching for this client? a. The client is tachycardic and reports dizziness and exertional dyspnea. 5 nanograms/mL, A nurse is caring for a patient who is admitted into the cardiac care unit with acute, decompensated heart failure. ounebi lpauub svh xmsbb eategj pyo mmmfoa khaduwh ywoual swzbvzy