Author Question: The nurse is admitting to the medical-surgical unit an older adult woman with a diagnosis of ... (Read 115 times)

luminitza · **on:** Jul 22, 2018

The nurse is admitting to the medical-surgical unit an older adult woman with a diagnosis of pulmonary hypertension and right-sided heart failure.

The patient is complaining of shortness of breath, and the nurse observes conversational dyspnea. What is the first action the nurse should take?
a. Review and implement the primary care provider's prescriptions for treatments.
b. Perform a quick physical examination of breathing, circulation, and oxygenation.
c. Gather a thorough medical history, including current symptoms, from the family.
d. Administer oxygen to the patient through a nasal cannula.

Question 2

What are two risk assessment tools used in the United States to evaluate a patient's risk for pressure ulcers? Select all that apply.

a. Pressure Ulcer Healing Chart
b. PUSH tool
c. Braden scale
d. Norton scale