An older adult with a diagnosis of heart failure has been ...

[newbem]

An older adult with a diagnosis of heart failure has been admitted to the hospital with an exacerbation of this condition. Which of the following are consequences of heart failure for which the nurse must monitor? (Select all that apply.)
 
  A) Arrhythmias
  B) Autoimmune disorders
  C) Drug interactions
  D) Hypotension
  E) Sleep disorders

Question 2

A 66-year-old has been conscientious about health as an adult and is disappointed at having been recently diagnosed with type 2 diabetes.
 
  The client had been unwilling to discuss this new diagnosis for the past several weeks but has now begun asking the nurse questions about this disease. Which of the following nursing diagnoses is most appropriate for this client?
 
  A) Readiness for enhanced knowledge
  B) Readiness for enhanced self-care
  C) Readiness for enhanced power
  D) Readiness for enhanced comfort

[dlook33]

Answer to Question 1

Ans: A, C, D, E
Common consequences of heart failure in older adults include increased likelihood for developing arrhythmias, increased risk for hypotension and falls, increased risk for drug interactions, and high incidence of sleep disorders. Autoimmune disorders do not commonly result directly or indirectly from heart failure.

Answer to Question 2

Ans: A
An expressed willingness to know more about how a health problem is diagnosed and managed suggests a nursing diagnosis of readiness for enhanced knowledge. This is not synonymous with enhanced self-care, but is a likely precursor. The client's questions are not clearly indicative of enhanced comfort or power.