As the RN caring for a client with heart failure, 1.how would you evaluate the client’s...

As the RN caring for a client with heart failure, 1.how would you evaluate the client’s physical assessment findings to determine if the client was experiencing left-sided heart failure, right-sided heart failure, or bi-ventricular failure?

2.What key features of the assessment would be the nurse’s priority?

3.How will the RN evaluate the effectiveness of these medications?

4.what would your teachings be for this patient?

Solutions

Expert Solution

Heart failure can determined through following physical examination -

BLOOD PRESSURE AND HEART RATE; The systolic blood pressure less than 90mm Hg,Tachycardia may be a sign of heart failure.
JUGULAR VENOUS DISTENTION: To help determine the Central venous pressure, can measure the height of the bulge.
PULMONARY EXAMINATION: Physical examination of the lungs may reveal rales and pleural effusions
LIVER SIZE AND HEPATOJUGULAR REFLUX: Abdominal examination is evaluate the size of liver. Hepatomegaly and venous congestion may occur if right side heart failure.
LOWER EXTREMITY EDEMA

LEFT SIDE HEART FAILURE CAN DETERMINE THROUGH FOLLOWING SIGN AND SYMPTOMS

Tachypnea, cough, crackles, wheezes, blood-tinged sputum,Confusion,Orthopnea,Exertional dyspnea and paroxysmal nocturnal dyspnea,Fatigue,Tachycardia,Restlessness.

RIGHT SIDE HEART FAILURE SIGN AND SYMPTOMS

Distended jugular veins, Dependent edema, Increased peripheral venous pressure, Anorexia, Complaints of GI distress,Ascites, Hepatomegaly and splenomegaly.

BIVENTRICULAR HEART FAILURE

In this both sides of the heart are affected. Symptoms can be same as left and right side heart failure , such as shortness of breath and a build-up of fluid.

2) Nurse should assess the Pulse Rate variation, BP variation, Respiration rate, Peripheral edema, Jugular venous pressure, Presence of extra heart sounds and murmurs.

3) RN can evaluate throgh the prescribed medication will decrease the above mentioned symptoms. After administering the medication to the patient the RN see the expected outcome.

4)The following health education can improve the patient condition.

physical rest is only advised and once the patient stable the mild exercise can be adviced.
Followup the medication as prescribed by the doctors.
Educate the patient to take the medication as per time
Advise to take precautions for the daily activities.

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

5. The RN is caring for a client on mechanical ventilation. The RN notes an increase...

5. The RN is caring for a client on mechanical ventilation. The RN notes an increase in peak airway pressure. What nursing actions are appropriate at this time? Select all that apply. Call the health care provider. Assess the tubing for kinks. Call the Rapid Response Team Assess whether the tubing has become disconnected. Auscultate the client ’s lungs. 6. Which nursing interventions are appropriate when preparing a client for a cardiac magnetic resonance angiogram (MRA)? Select all that apply...

what type of pain does the RN expect when a client has pain following a heart...

what type of pain does the RN expect when a client has pain following a heart attack?

The RN is collaborating with physical therapy evaluate client readiness for discharge. Which finding indicates that...

The RN is collaborating with physical therapy evaluate client readiness for discharge. Which finding indicates that the client needs further evaluation?

what type of iv medication would you use for heart faliure and why would the client...

what type of iv medication would you use for heart faliure and why would the client receive this be specific?

Present a comprehensive overview of case management strategies for the client with heart failure. Discuss aspects...

Present a comprehensive overview of case management strategies for the client with heart failure. Discuss aspects of medications, diet, lifestyle, and activities of daily living that can be addressed by the case manager. What referral services would be helpful for clients with heart failure. Identify the case management goals.

Discussion: Diuretics Rosemary Fox is a 78-year-old client with a history of heart failure. Her treatment...

Discussion: Diuretics Rosemary Fox is a 78-year-old client with a history of heart failure. Her treatment regimen includes hydrochlorothiazide, digoxin, an ACE inhibitor, and a potassium supplement. She is now hospitalized with acute exacerbation of heart failure, including a weight gain of 10 lb over the past week, severe 3+ pitting edema of her ankles and feet, and difficulty breathing with orthopnea. Furosemide 40 mg has been added to her drug regimen. The nurse is preparing to administer the first-ordered...

How can a heart failure affect heart sounds, pules, capillary refill, and skin color.

A client is receiving oxytocin for induction. Which assessment finding would cause the RN to discontinue...

A client is receiving oxytocin for induction. Which assessment finding would cause the RN to discontinue the infusion and notify the physician? Uterine contractions less than 50 mmHg pressure. Early decelerations noted with several contractions. Moderate fetal heart rate variability. Uterine contractions occurring every 90 seconds.

Diagnosis of heart failure places you at greater risk for what?

Question 1 A nurse is caring for a client in labor. The nurse determines that the...

Question 1 A nurse is caring for a client in labor. The nurse determines that the client is beginning in the 2nd stage of labor when which of the following assessments is noted? A The client begins to expel clear vaginal fluid B The contractions are regular C The membranes have ruptured D The cervix is dilated completely Question 2 A nurse in the labor room is caring for a client in the active phases of labor. The nurse is...

Subjects