« previous next »

Author Question: A patient with a history of chronic heart failure is admitted to the emergency department (ED) with ... (Read 115 times)

mynx

  • Hero Member
  • *****
  • Posts: 555
on: Jun 25, 2018
A patient with a history of chronic heart failure is admitted to the emergency department (ED) with severe dyspnea and a dry, hacking cough. Which action should the nurse do first?
 
  a. Auscultate the abdomen.
  b. Check the capillary refill.
  c. Auscultate the breath sounds.
  d. Assess the level of orientation.

Question 2

A patient who has just been admitted with pulmonary edema is scheduled to receive the following medications. Which medication should the nurse question before giving?
 
  a. Furosemide (Lasix) 60 mg
  b. Captopril (Capoten) 25 mg
  c. Digoxin (Lanoxin) 0.125 mg
  d. Carvedilol (Coreg) 3.125 mg


bitingbit

  • Sr. Member
  • ****
  • Posts: 323
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: C
This patient's severe dyspnea and cough indicate that acute decompensated heart failure (ADHF) is occurring. ADHF usually manifests as pulmonary edema, which should be detected and treated immediately to prevent ongoing hypoxemia and cardiac/respiratory arrest. The other assessments will provide useful data about the patient's volume status and also should be accomplished rapidly, but detection (and treatment) of pulmonary complications is the priority.

Answer to Question 2

ANS: D
Although carvedilol is appropriate for the treatment of chronic heart failure, it is not used for patients with acute decompensated heart failure (ADHF) because of the risk of worsening the heart failure. The other medications are appropriate for the patient with ADHF.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Barbituric acid, the base material of barbiturates, was first synthesized in 1863 by Adolph von Bayer. His company later went on to synthesize aspirin for the first time, and Bayer aspirin is still a popular brand today.

Did you know?

The largest baby ever born weighed more than 23 pounds but died just 11 hours after his birth in 1879. The largest surviving baby was born in October 2009 in Sumatra, Indonesia, and weighed an astounding 19.2 pounds at birth.

Did you know?

The National Institutes of Health have supported research into acupuncture. This has shown that acupuncture significantly reduced pain associated with osteoarthritis of the knee, when used as a complement to conventional therapies.

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

Did you know?

For about 100 years, scientists thought that peptic ulcers were caused by stress, spicy food, and alcohol. Later, researchers added stomach acid to the list of causes and began treating ulcers with antacids. Now it is known that peptic ulcers are predominantly caused by Helicobacter pylori, a spiral-shaped bacterium that normally exist in the stomach.

When working with the patient with impaired hearing, the interpreter needs to direct questions to th When working with the patient with impaired hearing, the interpreter needs to direct questions to th
Mechanisms of Action of Drugs Used for Heart Failure Mechanisms of Action of Drugs Used for Heart Failure
Patient teaching: female breast assessment Patient teaching: female breast assessment
EHR systems enable providers to view patient records across organizations. EHR systems enable providers to view patient records across organizations.
Patient Teaching Methods Cont. Patient Teaching Methods Cont.
Medical assistant interviewing a patient. Medical assistant interviewing a patient.
Video: Major Elements in Biological Molecules: Carbohydrates

For a complete list of videos, visit our video library