Chapter 29 - Chapter 29 The nurse notes that a patient has developed a cough productive for mucoid sputum is short of breath has cyanotic hands and has

Chapter 29 - Chapter 29 The nurse notes that a patient has...

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Chapter 29 1.The nurse notes that a patient has developed a cough productive for mucoid sputum, is short of breath, has cyanotic hands, and has noisy, moist-sounding, rapid breathing. These symptoms and signs are suggestive of what health problem?A)PericarditisB)CardiomyopathyC)Pulmonary edemaD)Right ventricular hypertrophyAns:CFeedback:
As a result of decreased cerebral oxygenation, the patient with pulmonary edema becomes increasingly restless and anxious. Along with a sudden onset of breathlessness and a sense of suffocation, the patient’s hands become cold and moist, the nail beds become cyanotic (bluish), and the skin turns ashen (gray). The pulse is weak and rapid, and the neck veins are distended. Incessant coughing may occur, producing increasing quantities of foamy sputum. Pericarditis, ventricular hypertrophy, and cardiomyopathy donot involve wet breath sounds or mucus production.2.The nurse is assessing an older adult patient with numerous health problems. What
assessment datum indicates an increase in the patient’s risk for heart failure (HF)?
HF is the most common reason for hospitalization of people older than 65 years of age and is the second most common reason for visits to a physician’s office. A potassium level of 4.7 mEq/L is within reference range and does not indicate an increased risk for HF. The fact that the patient takes Lasix 20 mg/day does not indicate an increased risk forHF, although this drug is often used in the treatment of HF. The patient being an African American man does not indicate an increased risk for HF.3.The triage nurse in the ED is assessing a patient with chronic HF who has presented with worsening symptoms. In reviewing the patient’s medical history, what is a potential primary cause of the patient’s heart failure?
Atherosclerosis of the coronary arteries is the primary cause of HF. Pleural effusion, endocarditis, and an atrial-septal defect are not health problems that contribute to the etiology of HF.4.Which assessment would be most appropriate for a patient who is receiving a loop diuretic for HF?
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