A 77-year-old woman with a diagnosis of congestive heart failure has experienced a downward trend in her hemoglobin levels in recent days, and her care team ordered the administration of two units of packed red blood cells.
In the hours following her blood transfusion, the patient complained of increasing shortness of breath, and chest auscultation revealed diffuse crackles. The nurse also noted an increase in the patient's peripheral edema, and fluid volume excess (FVE) is suspected. What assessment should the nurse prioritize in the care of this patient?
A) Close monitoring of the patient's intake and output
B) Assessment of the patient's hemoglobin, hematocrit, and red blood cell levels
C) Neurovital signs q1h
D) Assessment of the patient's electrolyte levels
Question 2
The nurse is caring for older patients in a long-term care facility. When ensuring for these patients' dignity, which statement reflects the role of dignity as it relates to the spiritual needs of the older adult?
A) Older adults who have lived a life of integrity and service have earned dignity.
B) An acknowledgment of spiritual needs is necessary for the presence of dignity.
C) Older adults may lack many of the attributes that are valued in society, but they can derive a sense of dignity from spirituality.
D) Older adults who have moved successfully through Erikson's stages of development can experience dignity in spite of disability.
SHEEP HEART
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Pathophysiology of heart failure
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