is a 69-year-old female reporting palpitations and fatigue for the past month and swelling in her feet and ankles for the past 5 days. She has a…
Question Answered step-by-step P.T. is a 69-year-old female reporting palpitations and fatigue forthe past month and swelling in her feet and ankles for the past 5 days. She has a history of hypertension, asthma, and heart failure, and a previous acute kidney injury.Her home medications include: Hydrochlorthiazide, Lisinopril, Asmanex, and low-dose aspirin. She also has albuterol MDI PRN wheezing.She is admitted to the cardiac step-down unit directly from her primary care provider’s office after being diagnosed with new atrial fibrillation with rapid ventricular response and an acute exacerbation of heart failure.New orders for her admission are: continuous cardiac monitoring, stat 12 lead EKG, PIV with 0.9NS to TKO, bedrest with bathroom privileges, etc. -What are the immediate possible complications that can occur in this patient? -What focused physical assessments need to be performed upon admitting this client and why? -What laboratory values and diagnostic tests do you expect to be ordered and why? -The physician has now ordered a heparin infusion and a Cardizem infusion. What are the rationales for these two medications and the nursing considerations (such as: are these two drugs compatible, what changes do you expect in heart rhythm, vital signs, lab values)? -What are two priority nursing diagnoses for this client and why? -What supplies will you need to have at the ready for this client’s admission and why? Health Science Science Nursing NURS 3314 Share QuestionEmailCopy link Comments (0)
