Ati RN pharmacology 2023 ( 65 Questions)
A nurse in a provider's office is caring for a client.
Nurses' Notes
Current visit:
Client here for follow-up visit. Was seen 1 week ago for worsening manifestations of heart failure. +1 nonpitting edema noted to feet and ankles. Client reports shortness of air improved and only occurs with significant exertion. Also states has more energy and is sleeping better. Client does report episodes of nausea and decreased appetite. Also states has had occasional dizziness. Today's weight is 78.9 kg (174 lb).
The Correct Answers:
Correct Answer:
- Shortness of air improved: The reduction in shortness of breath, now only occurring with significant exertion from initially minimal activity, indicates an improvement in the client's heart failure symptoms and better management of fluid buildup.
- More energy and better sleep: These are signs of improved quality of life and better control over heart failure symptoms. Clients often experience more energy and improved sleep as they recover from heart failure exacerbations.
- Weight loss: The decrease in weight by 3.2 kg (7 lb) from the previous visit suggests a reduction in fluid retention, due to the effectiveness of the diuretic (furosemide).
- +1 nonpitting edema: The improvement from +3 pitting edema (a more severe sign of fluid retention) to +1 nonpitting edema is a clear indication of improved fluid management and a positive response to treatment.
- Nausea and decreased appetite: These symptoms are concerning and may be side effects of the medication (e.g., digoxin or furosemide) or indicate a need for further assessment and adjustment of treatment.
- Occasional dizziness: Dizziness may be a side effect of the medications, especially furosemide, which can lead to low blood pressure, or it could be related to electrolyte imbalances, requiring continued monitoring.
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