Q47. Scenаriо A 78-yeаr-оld client hаs initiated a telehealth visit with the nurse due tо feeling more fatigued than usual. The patient has a cough and audible crackles. The client’s telehealth intake survey performed by an RN prior to the visit reveals the following: Medical History: hypertension, coronary heart disease, COPD, CHF, depression, and osteoarthritis. BP=160/90 Today’s weight=248 lbs. (6 lbs. more than yesterday) Cough and crackles started yesterday evening. Last medical visit=6 weeks ago Current medications=furosemide 40 mg one PO BID, lisinopril 10 mg one PO daily, potassium chloride 10 mEq one PO daily, budesonide inhaler 2 puffs 0.3/5mL PRN, carvedilol 6.25 mg one PO daily, fluoxetine 20 mg one PP BID, diclofenac 20 mg one PO BID, oxygen 1.5 L per nasal cannula Social history=lives with elderly wife who takes care of grandson after son’s wife died. Choose the most likely options for the information missing from the statements below by selecting from the list of options provided. The nurse recognizes that the client is having a problem with [option1]. [option2] and [option3] are symptoms that require [option4].
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