Question Answered step-by-step Question 1 Daisy Parker, a 72-year-old female client, is admittedon telemetry monitoring with severe aortic stenosis. She has a history of a congenital defect of the aortic valve and a recent anterior wall myocardial infarction 6 weeks ago. Her current medications consist of digoxin 0.125 mg every day; atenolol 50 mg every day; lisinopril 10 mg every day; furosemide (Lasix) 40 mg every day; potassium chloride 10 mEq, one tablet every day; rosuvastatin (Crestor) 20 mg every day. She is on a cardiac diet with a 2-g sodium restriction. The nurse assesses the client, noting the vital signs: T, 98° F; BP, 150/80 mm Hg; HR, 80 beats/minute; RR, 24 breaths/minute. The client has an aortic systolic murmur heard after the S1, and the point of maximal impulse is at the 6th intercostal space (ICP). The lungs are clear anteriorly and posteriorly. She has no chest pain or discomfort at rest but stated that with any activity she is extremely short of breath, has chest pain, feels dizzy, and at times passes out. The client is scheduled in the morning for a transcatheter aortic valve implantation (TAVI). The LPN/LVN needs to determine necessary nursing management for the client.a. What nursing management does the client need preoperatively?b. What nursing management does the client need postoperatively? Question 2 Jorgio has just lost an uncle to heart failure. He has just learned about the different types of heart failure. He wants to know about acute and chronic heart failure. Discuss the difference between acute and chronic heart failure.a. Are there any similarities between the two?b. How is contractility compromised?c. How is ejection fraction and cardiac output affected Question 3 April Holiday, a 54-year-old female client, is going for her first hemodialysis today. The client is scheduled to receive hemodialysis three times weekly and is on a fluid restriction and a renal diet. The client’s vital signs are T, 98° F, BP, 110/70 mm Hg; HR, 100 beats/minute; RR, 22 breaths/minute. The client has no pain but states that she feels very fatigued and has constipation. The nurse notes that the conjunctiva and mucous membranes are pale. The client has a pale sallow coloration of her skin. The hemoglobin is 8 g/dL and the hematocrit is 24%. The client is currently taking the following medications to help alleviate anemia: Ferrous sulfate 200 mg po three times daily, multivitamin with folic acid, B complex one daily, and epoetin alfa (Procrit) 50 units/kg/dose subcutaneously on the days of dialysis. The Procrit medication is available in 4000 units/mL, a single-dose vial. The nurse weighs the client, noting she is 50 kg. The LPN/LVN needs to provide nursing management for the client’s anemia.a. What dose of Procrit should the nurse provide the client and what are the administration considerations?b. Explain the nursing management for the client’s anemia     Health Science Science Nursing NURSI 101 Share QuestionEmailCopy link Comments (0)

Question Answered step-by-step Question 1 Daisy Parker, a 72-year-old female client, is admittedon telemetry monitoring with severe aortic stenosis. She has a history of a congenital defect of the aortic valve and a recent anterior wall myocardial infarction 6 weeks ago. Her current medications consist of digoxin 0.125 mg every day; atenolol 50 mg every day; lisinopril 10 mg every day; furosemide (Lasix) 40 mg every day; potassium chloride 10 mEq, one tablet every day; rosuvastatin (Crestor) 20 mg every day. She is on a cardiac diet with a 2-g sodium restriction. The nurse assesses the client, noting the vital signs: T, 98° F; BP, 150/80 mm Hg; HR, 80 beats/minute; RR, 24 breaths/minute. The client has an aortic systolic murmur heard after the S1, and the point of maximal impulse is at the 6th intercostal space (ICP). The lungs are clear anteriorly and posteriorly. She has no chest pain or discomfort at rest but stated that with any activity she is extremely short of breath, has chest pain, feels dizzy, and at times passes out. The client is scheduled in the morning for a transcatheter aortic valve implantation (TAVI). The LPN/LVN needs to determine necessary nursing management for the client.a. What nursing management does the client need preoperatively?b. What nursing management does the client need postoperatively? Question 2 Jorgio has just lost an uncle to heart failure. He has just learned about the different types of heart failure. He wants to know about acute and chronic heart failure. Discuss the difference between acute and chronic heart failure.a. Are there any similarities between the two?b. How is contractility compromised?c. How is ejection fraction and cardiac output affected Question 3 April Holiday, a 54-year-old female client, is going for her first hemodialysis today. The client is scheduled to receive hemodialysis three times weekly and is on a fluid restriction and a renal diet. The client’s vital signs are T, 98° F, BP, 110/70 mm Hg; HR, 100 beats/minute; RR, 22 breaths/minute. The client has no pain but states that she feels very fatigued and has constipation. The nurse notes that the conjunctiva and mucous membranes are pale. The client has a pale sallow coloration of her skin. The hemoglobin is 8 g/dL and the hematocrit is 24%. The client is currently taking the following medications to help alleviate anemia: Ferrous sulfate 200 mg po three times daily, multivitamin with folic acid, B complex one daily, and epoetin alfa (Procrit) 50 units/kg/dose subcutaneously on the days of dialysis. The Procrit medication is available in 4000 units/mL, a single-dose vial. The nurse weighs the client, noting she is 50 kg. The LPN/LVN needs to provide nursing management for the client’s anemia.a. What dose of Procrit should the nurse provide the client and what are the administration considerations?b. Explain the nursing management for the client’s anemia     Health Science Science Nursing NURSI 101 Share QuestionEmailCopy link Comments (0)