The nurse is documenting care provided to a client with heart ...

[tth]

The nurse is documenting care provided to a client with heart failure. What should be included in this documentation? (Select all that apply.)
 
  1. Referral to dietitian
  2. Treatment measures
  3. Assessment findings
  4. Subjective statements
  5. Number of questions asked

Question 2

When obtaining a nursing history on a client with myocarditis, the nurse should question the client about:
 
  1. A recent viral infection.
  2. A recent streptococcal infection.
  3. A history of coronary heart disease (CAD).
  4. Prior use of beta blockers for treatment of hypertension.

[bigsis44]

Answer to Question 1

Answer: 1, 2, 3, 4

1. Document referrals made such as to a dietitian.
2. Document treatment measures implemented and the patient's response to treatment.
3. Document assessment findings, noting any changes that occur with activity.
4. Document subjective data such as statements of improved ease of breathing.
5. The number of questions asked the client does not need to be documented.

Answer to Question 2

Answer: 1

1. Myocarditis frequently occurs following a viral, bacterial, or protozoal infection.
2. Streptococcal infections usually lead to rheumatic heart disease.
3. CAD is not a precipitating factor.
4. Beta blockers are not precipitating factors.

[tth]

Gracias!

[jackie]

TYSM