A nurse is preparing to care for an 84-year-old male client…
A nurse is preparing to care for an 84-year-old male client who is being admitted to a medical unit from a provider’s office. The nurse reviews the client’s medical records to prepare the client’s plan of care. Diagnostic Results HbA1C 6.2% (less than 7%) Blood glucose 102 mg/dL (82 to 115 mg/dL)Hemoglobin 14.2 g/dL (14.2 to 18 g/dL)Hematocrit 42.6% (42% to 52%)Total WBC count 6,000/mm3 (5,000 to 10,000/mm3)HDL 35 mg/dL (greater than 45 mg/dL)LDL 142 mg/dL (less than 130 mg/dL)Brain natriuretic peptide (BNP) 352 pg/mL (less than 100 pg/mL)Chest x-ray: Shows cardiomegaly and bibasilar pleural congestion. Medication Administration Record Metformin 850 mg PO q amDigoxin 0.25 mg PO q amCarvedilol 25 mg PO bidFurosemide 40 mg IV bolus once now Vital Signs BP 146/98 mm HgTemperature 36.8º C (98.2º F)Pulse rate 106/minRespirations 24/minO2 saturation 94% on 2 L/min nasal cannula What two parameters should the nurse monitor to assess this client’s progress?
Read DetailsA patient is being treated for chronic venous stasis ulcers…
A patient is being treated for chronic venous stasis ulcers of the lower extremities. What medication does the nurse understand will increase peripheral blood flow by decreasing the viscosity of blood and assist with the healing of the ulcers?
Read DetailsMs. Smith is being prepared for discharge after receiving a…
Ms. Smith is being prepared for discharge after receiving a balloon valvuloplasty. She will be discharged with medications clopidogrel (Plavix) and Aspirin. She voiced upon admission that she routinely uses Heroin intravenously. What education should be provided for this client? Select All that Apply
Read DetailsA client with newly diagnosed emphysema is admitted to the m…
A client with newly diagnosed emphysema is admitted to the medical-surgical unit for evaluation. Which does the nurse recognize as a deformity of the chest wall that occurs as a result of overinflation of the lungs in this client population?
Read DetailsWhile performing an admission assessment for a client, the R…
While performing an admission assessment for a client, the RN notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the following nursing diagnoses should the nurse identify as being the priority in the client’s care?
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