Question 1
The nurse suspects that compensatory mechanisms have been activated in a patient with heart failure. What did the nurse assess to make this clinical determination?
◦ Blood pressure 138/84 mm Hg
◦ Temperature 100°F
◦ Respiratory rate 20 per minute
◦ Heart rate 118 beats per minute
Question 2
The nurse reviews a new order written for a patient with heart failure. When should invasive hemodynamic monitoring be considered for this patient? Select all that apply.
Note: Credit will be given only if all correct choices and no incorrect choices are selected.◦ When the patient is experiencing severe dyspnea at rest
◦ When the patient is experiencing fatigue
◦ When doses of pressor therapy are increased
◦ When an inotropic infusion is initiated
◦ When the patient is experiencing cool, clammy extremities
Base of Heart
Respiratory Assistive Devices, Patient Using a Peak Flow Meter
Valves of the heart.
Example of problem focused patient
Valves of the heart