Quiz 4 Adult I.pdf - Quiz 4 Adult I 1 An older adult patient with HF is being discharged home on an ACE inhibitor and a loop diuretic The patient's most

Quiz 4 Adult I.pdf - Quiz 4 Adult I 1 An older adult...

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Quiz 4 Adult I 1.- An older adult patient with HF is being discharged home on an ACE inhibitor and a loop diuretic. The patient's most recent vital signs prior to discharge include oxygen saturation of 93% on room air, heart rate of 81 beats per minute, and blood pressure of 94/59 mm Hg. When planning this patient's subsequent care, what nursing diagnosis should be identified? 2.- A client has had a recent myocardial infarction involving the left ventricle. Which assessment finding is expected? 3.- Which illness in the client’s history would alert the nurse to the possibility of an abnormality of the heart valves? 4.-Which statement made by a client would alert the nurse to the presence of edema? 5.- The client’s blood pressure is 134/88 mm Hg. Which is the nurse’s best intervention? 6.-A client asks the nurse why it is important to be weighed every day if he or she has right-sided heart failure. How will the nurse respond? 7.-The client who has had a prosthetic valve replacement asks the nurse why he must take anticoagulants for the rest of his life. How will the nurse respond? 8.-A 65-year-old man comes to the emergency department with severe chest pain and shortness of breath. He's diaphoretic, pale, and weak. Suddenly, the patient collapses. What should the nurse do first? 9.-The nurse is assessing a patient who is known to have right-sided HF. What assessment finding is most consistent with this patient's diagnosis?

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