Question

Please answer all please.will thumbs up for correct answers for all of them

the RN on a Medical Surgical Unit is doing her admission assessment

on a new patient Mr. A.W.

A.W. was admitted for SOB and CHF exacerbation. He has a medical

history of CHF, DM, arthritis, HTN, and hyperlipidemia. (#1-10)

1. List three subjective findings the RN can anticipate to see with this patient.

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2. List three objective findings the RN can anticipate to see with this patient.

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3. What is this RN’s priority nursing assessment for this patient?

a.

Evaluate the patient’s home medication list for diuretics

b. Ask the patient if he uses oxygen at home

c.

Obtain a O2 sat reading and listen to lung sounds

d. Evaluate the patient’s extremities for edema

4. When inquiring about the patient’s arthritis, the patient states that he has pain and “crackling

sounds” in his left ankle and right knee that gets worse as the day goes on. The RN can safely

suspect that the patient has which type of arthritis?

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5. What are the signs and symptoms of the OTHER common type of arthritis?

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6. During the admission assessment, the patient begins to look aggravated and states, “Why the

heck do they have me in the hospital again?! I was just here last month and the doctors didn’t

do anything for me!” Which of the following is an appropriate response by the RN?

a.

“Why do you feel like the doctors didn’t do anything for you?”

b. “You seem frustrated to be back in the hospital, tell me about what questions you have

regarding your admission.”

c.

“Sir, please try to calm down. We do not want to elevate your blood pressure any further.”

d. “I understand completely, I will have the doctor come speak with you.”

Answer 1

1. The subjective findings the RN can anticipate in A.W were

*Poor urine output

*Fatigue

*Increasing edema

2. The objective findings the RN can anticipate in A.W were:

*Elevated jugular venous pressure

*Peripheral edema or ascites'

*Cool extremities above the hands and feet

3.Evaluate the patient's extremities for edema

4.Rheumatoid Arthritis (This will leads to increase stiffness or fixation of the knee joint that has culminated in complete fixation of the joint and atrophy is a flabby appearance of muscle leading to decreased function and tune. Crepitation is a grating sound/crackling sound that accompanies moving

5.Pain, Swelling, Stiffness, Tenderness, Warmth/Redness

6 ."I understand completely, I will have the doctor come speak with you"