Question

CHAPTER 20 N-CLASSIONLINE CASE STUDY S.R. is a 65- year-old woman who presents to the emergency departmen complaining of shortness of breath, productive cough, and swelling in both legs. The padent has a past medical history of congestive heart failure (CHF), hypertension, and diabetes. Vital signs are T 97.5, P 85, R 16, and BP 160/90. Physical exam reveals +2 edema bilateral lower extremities, heart rate and rhythm regular, and lungs with rhonchi in the bases. The patient is started on a nebulizer treatment, and an electrocardiogram has been ordered. 1. What subjective information should the nurse obtain? 2. The nurse is assessing the patient's pulses. Which locations should the nurse check? 3. The nurse needs to evaluate the adequacy of the collateral circulation before obtaining an arterial blood gas (ABG) sample. How should the nurse proceed 4. What is the most likely cause of this patient's shortness of breath productive cough, and swelling in both legs?

Answer 1

1. Answer

Rest, family and history of heart ailments. Also about blood pressure and diabetes, impulse to urinate amid the night.

1. Answer

The Jugu-lar veins for hepato-jugular reflux. Apical and extended to check for beat blemish, which should be relatively vague whenever checked close to one another, by then periphery beats.

3.) Answer

- Before illustration blood from an extended supply course, it's imperative to review the ulnar course's ability to keep up spread of the hand in the midst of and after the procedure.

-This evaluation is known as an altered Allen's test. To play out this test, have your patient stretch out his hand to you, laying his arm on the bedside table with a moved towel supporting his wrist, if essential. Have him open and close his clench hand a couple of times.

-At that point, while his clench hand is held, all the while impede both the spiral and ulnar supply routes. While the conductors are blocked, ask the patient to step by step unclench his hold hand and loosen up his hand.

-The palm ought to be pale from absence of blood vessel blood stream. At that point, discharge the weight over the ulnar supply route.

- The palm should turn pink; exhibiting that vein course has proceeded.

4.) Answer

-CHF because it is an unending dynamic condition that influences the drawing intensity of your heart muscles.

- While consistently insinuated similarly as "heart infirmity," CHF especially implies the stage in which fluid creates around the heart and makes it pump inefficiently.