Nurs 1872 Giddens Perfusion
a client is recieving furosemide to help treat heart failure. which laboratory result will cause the nurse to notify the primary healthcare provider?
potassium 3.0 mEq/L
During the first 36 hours after the insertion of chest tubes, when assessing the function of a three-chamber, closed-chest drainage system, the nurse identifies that the water in the underwater seal tube is not fluctuating. What initial action should the nurse take?
Check the tube to ensure that is it not kinked
how can the nurse best describe heart failure to a client?
an inability of the heart to pump blood in proportion to metabolic needs
a client who is obtunded has a blood pressure of 80/35 mm Hg after a blood transfusion. in an effort to support renal perfusion, the nurse administers dopamine at 2 mcg/kg/min as prescribed. which is the most relevant outcome indicating effectiveness of the medication for this client?
an increase in urinary output
a client returns from a cardiac catheterization procedure and is to remain in the supine position for 4 hours with the affected leg straight. what are these measures intended to prevent?
bleeding at the arterial puncture site
which assessment finding is considered the later sign of decreased tissue oxygentation?
cyanosis, cool, clammy skin, and retaction of interspaces on inspiration
a client with an inferior myocardial infaction has a heart rate of 120 beats per minute. which goal achievements are priority?
decrease the workload on the heart and promote maxium cornary artery filling
the parent of a 5 month old infant with heart failure questions the necessity of weighing the baby every morning. what does the nurse say that this daily information is important in determining?
fluid retention
a 5 year old child is admitted to the pediatric unit with a diagnosis of acute poststreptococcal glomerulonephritis. what assessment data lead the nurse to conclude that the child has a fluid volume excess?
periorbital edema, smoky urine, headaches
a client who had a femoropopliteal bypass graft is receiving clopidogrel postoperatively. what should the nurse teach the client related to the medication
report any occurrence of mulitiple bruises
which assessment finding is considered the earliest sign of decreased tissue oxygenation?
unexplained restlessness
