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A client with a history of CHF is at risk for fluid volume excess. He/she should...

A client with a history of CHF is at risk for fluid volume excess. He/she should be taught to

a) limit the amount of water intake to 500 cc per day

b) increase the duretic dosage if peripheral edema occurs

c) weigh daily on the same scale

d) monitor skin turbot on a regular basis

2)a client takes aspirin for times a day for arthritis. Which statement by the client leads the nurse to conclude that the client is experiencing a ADR?

a) my heart seems to be beating fast

b) I am always so very thirsty during the day

c) I have numbness and tingling in my legs

d) I heard ringing in my both of my ears

Solutions

Expert Solution

1) ans: c weight daily on the same scale

To track whether the body is holding too much fluid, weigh daily.

Monitoring weight daily is important for a patient with a risk of increased fluid volume. Use the same scale every day at the same time preferable after urinating in the morning. Wear the same amount of clothing each day. Weight gain If 3 pounds or more pound in 3 days or more than 5 pounds in a week means fluid is retaining. So for a patient with fluid retention risk, monitor the weight daily to find the fluid overload.

Often 1 to 1.5 litre of water is recommended for a heart failure patient. Without proper intervention increasing diuretic dose might produce potential risk. Skin turgor indicates fluid loss and dehydration.

2) ans : d) I heard ringing in both of my ears

Aspirin is a salicylate that is used to treat pain, reduce fever and inflammation

Ringing in the ear or tinnitus is an ADR of aspirin in a large dose.

Dry mouth, irregular heartbeat and numbness are common side effects of aspirin.

If aspirin is used for a long period of time or in the large dose they might produce ringing in ears or hearing loss. Aspirin in large dose is considered as an ototoxic medication.

Nightingale answered 1 year ago
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