A patient admitted from the emergency department with a diagnosis ...

[berenicecastro]

A patient admitted from the emergency department with a diagnosis of heart failure and a NYHA classification of IV has edema in his lower extremities of +4 . Which nursing intervention would aid in decreasing this edema?
 
  a. Ambulate in the hallway.
  b. Elevate lower extremities.
  c. Keep the extremities in a dependent position.
  d. Stand at the bedside.

Question 2

Which of the following observations by a nurse calls for immediate action?
 
  A) Patient's inability to read fine print
  B) Foul odor related to incontinence
  C) Cigarette burns on a patient's fingers
  D) Patient's report of having difficulty seeing objects to the side

[heinisk01]

Answer to Question 1

B
Elevate extremities when sitting or lying to promote venous return and decrease incidence of edema and venous stasis.

Answer to Question 2

C
Feedback:
Cigarette burns indicate a reduced ability to sense pressure and pain, which can be dangerous. The patient and her or his family must be alerted about the problem, and the home environment should be arranged for safety. If possible, the patient should stop smoking. The other choices indicate problems that should be dealt with, but they are not immediate threats.

[berenicecastro]

Thank you

[heinisk01]

No problemo