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?

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 2 years ago

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