Exhibits
Review H and P, nurse's note, and flow sheet.
Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
The Correct Answer is []
Potential Condition
- Dilated Cardiomyopathy: This condition is most likely because the client presents with symptoms of heart failure (chest pain, dizziness, inspiratory crackles, systolic murmur, and ankle edema) alongside a history of hypertension, which can contribute to the development of dilated cardiomyopathy.
Actions to Take
1. Apply Oxygen: The client is showing signs of potential heart failure, and oxygen can help alleviate symptoms associated with decreased oxygenation.
2. Perform 12-lead EKG: An EKG will provide information about any potential cardiac abnormalities, especially in the presence of chest pain and systolic murmur.
Parameters to Monitor
1. Blood Pressure: It is essential to monitor blood pressure due to the client's hypertension and heart failure symptoms, which may be exacerbated by elevated blood pressure.
2. Urine Output: Monitoring urine output helps assess kidney perfusion and fluid status, which can be affected by heart failure and hypertension, particularly in cases of cardiomyopathy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hemoglobin levels can indicate anemia but are not directly related to the presence of petechiae and ecchymosis, which suggest bleeding issues.
B. The red blood cell count is also important for understanding anemia but does not specifically address the bleeding disorders indicated by the client’s symptoms.
C. The white blood cell count provides information on the immune status but does not relate to bleeding manifestations.
D. The platelet count is critical to assess because petechiae and ecchymosis can be indicative of thrombocytopenia (low platelet count), which can lead to increased bleeding tendencies. Monitoring platelet levels will help determine the cause of these symptoms.
Correct Answer is ["E","F","H"]
Explanation
A. Spinach: Although it contains moderate purine levels, spinach is generally considered safe in moderation for people with gout.
B. Chicken: Lean meats, like chicken, contain moderate purines and are typically allowed in controlled portions.
C. Lentils: While lentils have some purine content, they are generally less likely to trigger gout attacks and can be included in a balanced diet.
D. Oranges: Oranges are low in purines and high in vitamin C, which may help reduce uric acid levels.
E. Shrimp: Seafood, particularly shellfish, is high in purines, which can increase uric acid levels and trigger gout attacks.
F. Liver: Organ meats, such as liver, are rich in purines and should be avoided by individuals with gout, as they can contribute to elevated uric acid levels.
G. Garlic: Garlic is low in purines and is safe for individuals with gout.
H. Sardines: Sardines are also high in purines, making them likely to exacerbate gout by increasing uric acid production.
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