Case Study:A 75-year-old individual with history of hyperten…
Case Study:A 75-year-old individual with history of hypertension and coronary artery disease presented to the emergency department one week ago with complaints of difficulty breathing that worsened in bed at night, and increased fatigue. Further assessment reveals crackles to bilateral lungs and 2+ dependent edema. The patient was ultimately diagnosed with acute decompensated heart failure (ADHF) by the healthcare provider. The following prescriptions were placed.metoprolol (Lopressor) 25 mg once daily for hypertensionfurosemide (Lasix) 20 mg bid for fluid overloadlisinopril (Prinvil) 5 mg daily for heart failureONE WEEK LATER:At the patient’s follow-up visit one week later, the nurse is evaluating the efficacy of each medication. The patient complains of less difficulty breathing with activity or while lying flat. Edema is 1+/4+ to lower extremities and lung sounds are now clear. The patient is still fatigued, but is able to carry out activities of daily living.Vital signs and diagnostic testing results for hospitalization and follow-up visit are below. Vital Signs:Vitals / Date-TimeTemperature Pulse Resp.Blood Pressure O2 Sat. Hospital (One Week Ago)98.1 94 26 156/83 mmHg90% (Room Air) Clinical (Today) 98.483 16 130/72 mmHg95% (Room Air) Lab Results:Lab ResultNormal Range ED (One week ago) TodayPotassium 3.5 – 5.0 mEq/L3.9 3.4 LHemoglobin12-17 g/dL13.2 13.0Hematocrit36-51%39.5 39.0Red blood cells4.1 -5.1 x 106 cells/ μL4.9 4.8Platelets150,000-350,000/ μL155,000155,000White blood cells4,000-10,000 μ/L9,500 9,300B-type natriuretic peptide (BNP)
Read DetailsA patient is scheduled for a coronary angiogram with possibl…
A patient is scheduled for a coronary angiogram with possible percutaneous coronary intervention (PCI) in the cardiac catheterization lab (CCL). For which allergies should the nurse assess prior to this procedure? (Select all that apply.)
Read DetailsFor patients with chronic stable angina (CSA), sublingual ni…
For patients with chronic stable angina (CSA), sublingual nitroglycerin may be prescribed for use on an as-needed basis. Nitroglycerin can be given every [BLANK-1] minutes for a maximum of [BLANK-2] doses for the treatment of [BLANK-3]. Options for blank 1: Options for blank 2: Options for blank 3: 51015 135 heart failurehyperlipidemiachest pain
Read DetailsReview the assessment findings listed in the left column. Fo…
Review the assessment findings listed in the left column. For each medication (Metoprolol, Furosemide, Lisinopril), click the cell(s) that reflect a therapeutic benefit — meaning the medication is working as intended to improve the patient’s condition without complications.Some findings may apply to more than one medication, or none at all.HINT: Choose three (3) for metoprolol, six (6) for furosemide, and three (3) for lisinopril.
Read DetailsA speech-language therapist encourages a child with expressi…
A speech-language therapist encourages a child with expressive language difficulties to participate in repetitive nursery rhymes and finish predictable phrases during group story time. What is the primary goal of this approach?
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