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In: Nursing

An elderly client presents to the clinic with complaints of shortness of breath, inability to lay...

An elderly client presents to the clinic with complaints of shortness of breath, inability to lay flat in bed, and swollen feet bilaterally. He has a history of congestive heart failure and poor eating habits. He weighs 325 pounds and is 66 inches tall. (20 points each)

  • Describe the cardiac assessment that the nurse would perform on this client, including key sounds and landmarks.
  • Identify the assessment findings the nurse will expect to find.
  • Discuss the respiratory questions should the nurse ask the client and why.
  • Describe the technique and the rationale for auscultating the carotid artery in this client.
  • How many kilograms does the client weigh? Show your work.

Solutions

Expert Solution

· Describe the cardiac assessment that the nurse would perform on this client, including key sounds and landmarks.

The key elements of the cardiac test include assessment, palpation and, most specifically, auscultation (percussion is omitted)

· Identify the assessment findings the nurse will expect to find.

In addition to the "vital signs" of temperature , blood pressure, pulse and respiratory rate, the procedures used may include assessment, palpation, auscultation and rhythm, and further evaluation of body structures such as the cardiovascular or musculoskeletal systems.

· Discuss the respiratory questions should the nurse ask the client and why.

• Please explain the problem that caused you to get into today?

• How has this disease affected the operations?

• How often does this occur.

• How long has this occurred?

• Do you have breathable chest pain? ...

• Are you coughing?

· Describe the technique and the rationale for auscultating the carotid artery in this client.

To assess the carotid artery should do the following:

• Place the artery softly to one side of your arm.

• The artery is visible. ...

• Mount the stethoscope over the carotid artery, beginning at the jaw line.

• Tell the patient to suppress his breath.

• Press diaphragm gently. ...

• Reverse, repeat.

Auscultation can also be used to preliminary assess carotid artery disease, accompanied by ultrasound imaging. ... A bruit is caused by a turbulent flow of blood in an artery that supplies oxygen to the brain. Increased Carotid Artery stenosis results in increased bruit length, strength, and pitch.

· How many kilograms does the client weigh? Show your work.

1 Pound (lb) is the equal to 0.45359237 kg. Multiply the pound value by 0.45359237 to convert pounds to kilograms, or divide by 2.2046226218.

For example, to convert 325 pounds to kg, divide 325 by 2.2046226218, that makes 147.418 kg is 325 lbs.

Nightingale answered 2 years ago
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