The nurse assesses for which physiologic change?ĭ. A client with systolic dysfunction has an ejection fraction of 38%. Other later manifestations may include edema, increased respiratory rate, and lowered oxygen saturation readings. Changes in creatinine occur when kidney damage has occurred, which is a later manifestation. Blood pressure will remain the same or will elevate slightly. Adrenergic receptor stimulation causes an increase in heart rate and respiratory rate. In heart failure, stimulation of the sympathetic nervous system represents the most immediate response. A decrease in respirations and oxygen saturation ANS: C An increase in heart rate and respiratory rateĭ. An increase in creatinine and extremity edemaĬ. A decrease in blood pressure and urine outputī. Which assessment finding does the nurse expect?Ī. TERMS IN THIS SET (68) A client is admitted with early-stage heart failure. Pulse oximetry is used to monitor the effectiveness of oxygen therapy, and achievement of a steady reading is not a practical or primary goal. There are many risk factors to consider when determining treatment goals. Performing daily aerobic exercises may be too strenuous on the heart. Being overweight is just one risk factor for chronic heart failure maintaining ideal body weight may not be a goal for some patients. Maintaining a steady pulse oximetry reading An increase in cardiac output helps overcome chronic heart failure, thereby maintaining the blood flow to meet the body's demand. 752 The nurse recognizes that a primary goal for a patient with chronic heart failure is what?
Social services can assist with obtaining community resources the patient may need. Physical therapy or occupational therapy may not be needed. The protocols help the patient to identify problems, such as an increase in weight or dyspnea, both of which are symptoms of worsening heart failure. Social services provider Home health nurses frequently work with protocols set up with the patient's health care provider. Which health care team member frequently works with protocols set up with the patient's health care provider to identify problems and start interventions? monitor BP A patient newly diagnosed with heart failure is being discharged from the hospital.
PNEUMONIA COUGH MUCPUS ACROSS UPPER CHEST DISCOMFORT SKIN
What is the priority nursing intervention?Īssess the skin surrounding the intravenous (IV) site. The primary health care provider prescribes a continuous intravenous infusion of sodium nitroprusside. 748 A patient is admitted to the hospital with a diagnosis of acute decompensated heart failure (ACHF). The heart rate of 90 beats/minute is normal.
Slightly swollen ankles are an expected finding with chronic heart failure frequent urination is an expected effect of the diuretic. Signs of early digoxin toxicity include anorexia, nausea and vomiting, fatigue, headache, depression, and visual changes. The presence of hypokalemia while the patient is on digoxin may lead to digoxin toxicity. I feel so nauseated and tired."ĭrug therapy with digoxin and potassium-losing diuretics (thiazides or loop diuretics) may lead to hypokalemia.
It is usually 80-90 beats per minute." "I'm not really hungry for lunch. "I have to urinate a lot after I take those pills!" Which statement made by the patient indicates that the patient is experiencing a complication related to the medication? TERMS IN THIS SET (117) The nurse is caring for a patient with chronic heart failure and atrial fibrillation that takes digoxin and a thiazide diuretic.
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