Only 4 questions include: some fill-in blanks with the correct…
QuestionAnswered step-by-stepOnly 4 questions include: some fill-in blanks with the correct…Only 4 questions include: some fill-in blanks with the correct answer, all the answers options are in the second box, for questions only need simple answers.Perfusion Heart Failure/Aortic stenosis Scenario A 72-year-old male client is admitted to a telemetry unit after a fall at home. The clients is experiencing severe weakness in his lower extremities and states, “I got out of bed at 0430 this morning, my legs gave out on my way to the bathroom, and I was unable to get up.” Emergency medical services transported the client to the hospital. 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. He saw his cardiologist and had an echocardiogram completed 3 weeks ago. He also received his influenza and pneumococcal vaccines this year. The client is married and has two adult children. He lives in a single-story home, ambulates with a cane, and completes ADLs independently. His echocardiogram reports moderate heart failure with an ejection fraction (EF) of 38%. The client’s wife provides a list of his current medications, but the list is not complete. Choose the most likely options for the information missing from the paragraph by selecting from the lists of options provided. 1. Identify the Top 3 client areas for the nurse to assess. (What matters most? Noticing, Tanner’s Clinical Judgement model ) 2. Fill in the blanks with the correct answer, all the answers options are in the second boxMedication Dose, Route, Frequency Drug Class Indication aspirin A. Salicylate Prevention of platelet aggregation Atorvastatin 20 mg orally once a day Statin B. C. 12.5 mg orally twice a day Beta-adrenergic blocker Management of hypertension and heart failure Ibuprofen 400 mg orally every 6-8 hr as needed Nonsteroidal anti-inflammatory drug D. E. 0.125 mg orally once a day Cardiac glycoside Increase myocardial contractile force lisinopril 2.5 mg orally once a day F. Management of heart failure Options for 1 Options for 2 Options for 3 0.25 mg orally twice a day Management of angina carvedilol 81 mg orally every 4-5 hr as needed for pain Treatment of bronchospasm hydrochlorothiazide 200 mg subcutaneously every 8 hours Management of heart failure furosemide 325 mg orally once a day Management of hyperlipidemia nesiritide 1000 mg transdermal patch every 2 days Prevention of pulmonary hypertension verapamil Options for 4 Option for 5 Option for 6 Treatment for decreased cardiac output enalapril Aldosterone antagonist Prevention of dyspnea spironolactone Angiotensin-converting enzyme inhibitor Management of extremity pain digoxin Calcium channel blocker Treatment of pyrexia losartan Histamine blocker Prevention of tachycardia metroprolol Thiazide diuretic Case Study Progress 3. After completing the medication reconciliation with the patient’s wife, the nurse completed the initial assessment. The nurse’s findings include: Circle or place a checkmark next to the assessment findings that require follow-up by the nurse. Alert and oriented Blurred vision Reports lower extremity stiffness; Ambulates with crutches Sinus rhythm with preventricular contractions (PVCs); Cardiac murmur Reports dyspnea on exertion; Bilateral basilar crackles Blood urea nitrogen (BUN) = 11 mg/dL and Creatinine kinases 1200 U/L Potassium 5.3 mg/dL Case Study Progress 4. The provider arrives to the telemetry unit to discuss the diagnosis and plan with the patient and wife. 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 with the correct answer, all the answers options are in the second box When caring for a client who has left ventricular dysfunction, the nurse assesses for _____1_____ related to inadequate cerebral perfusion, _____2______ related to inadequate myocardium perfusion, and _____3______ 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 _____4_____, _____5_____, and _____6_____. If the client experiences acute pulmonary edema, the nurse would place the client in a sitting position and administer _____7_____ and _____8_____. Options for 1, 2, and 3 Options for 4, 5, and 6 Options for 7 and 8 Confusion Crackles Albuterol nebulizer Chest pain Dyspnea chest percussion nausea Fatigue Lorazepam orally oliguria Jugular vein distention Morphine intravenous push orthopnea Stridor Nitroglycerin sublingual pallor Tachypnea Supplemental oxygen polyuria Weight gain Furosemide intravenous push Health ScienceScienceNursingNUR 151Share Question
