A 72-year-old male client is admitted to a telemetry unit after a
Question Answered step-by-step A 72-year-old male client is admitted to a telemetry unit after afall at home secondary to severe weakness in his lower extremities. Past medical history provided by the client includes high cholesterol, aortic valve stenosis, and residual lower extremity muscle pain, and weakness secondary to poliomyelitis as a child. His most recent echocardiogram reports moderate heart failure with an ejection fraction (EF) of 38%. He has been prescribed aspirin and a variety of cardiac medications. The client is diagnosed with rhabdomyolysis. Prescriptions to place a large-bore intravenous catheter and administer normal saline 0.9% at 125 mL/hr are received. Choose the most likely options for the information missing from the paragraph by selecting from the lists of options provided.FILL IN THE BLANKS:When caring for a client who has left ventricular dysfunction, the nurse assesses for___YELLOW___________ related to inadequate cerebral perfusion, ___YELLOW______ related to inadequate myocardium perfusion, and __YELLOW_________related to inadequate renal perfusion. The nurse monitors a client who has heart failure closely for complications of pulmonary congestion when administering intravenous fluids. Manifestations of pulmonary congestion include ___GREEN_____, ____GREEN________, and ____GREEN_____. If the client experiences acute pulmonary edema, the nurse would place the client in a sitting position and administer ___PURPLE_______ and ______PURPLE_________.ANSWER CHOICES (COLOR CODED)YELLOW GROUPConfusionChest painNauseaOliguriaOrthopneaPallorPolyuriationGREEN GROUPCracklesDyspneaFatigueJugular vein distentionStridorTachypneaWeight gainPURPLE GROUPAlbuterol nebulizerChest percussionLorazepam orallyMorphine intravenous pushNitroglycerin sublingualSupplemental oxygenFurosemide intravenous pushAn 18-year-old African-American female with a new diagnosis of sickle cell disease is preparing for discharge to home with her parents. The nurse is planning health teaching to help the client prevent a sickle cell crisis event, which could be life-threatening. What health teaching will the nurse include? Select all that apply.A. “Decrease your alcohol intake to one drink a day.”B. “Avoid overly strenuous physical activities.”C. “Avoid temperatures that are extremely hot or cold.”D. “Engage in low-impact, low-energy exercise three or four times a week.”E. “Eat a healthy diet that is rich in fruits and vegetables.”F. “Avoid high altitudes, such as mountainous areas.”G. “Avoid smoking and tobacco use, including vaping.”H. “Dress appropriately for the temperature that you are in.”PreviousNext Health Science Science Nursing MEDS MISC Share QuestionEmailCopy link Comments (0)
