ATI: Real Life 3.0 Module: PN Adult Medical Surgical Heart Failure (100% Accurate answers)

Karmann uses the SBAR communication format to communicate client information with RN David. Identify the sequence Karmann should use pertaining to the SBAR format. (Reorder the steps by dragging them into the desired sequence.) correct answers 1) The provider is admitting the client to the unit. 2) The client has a diagnosis of heart failure. 3) The client resports increasing fatigue and shortness of breath. 4) The provider's nurse will fax the client's medical orders. Using information received from the transfer report, which of the following findings should Karmann identify as contributing to Mr. Stone's heart failure? correct answers Elevated blood pressure Karmann is planning to prepare the hospital room for Mr. Stone. Which of the following equipment should Karmann have available when Mr. Kramann have available when Mr. Stone arrives? correct answers Oxygen equipment Karmann checks Mr. Stone's vital signs and notes a blood pressure of 168/94 mm Hg. Which of the following actions should he take? correct answers Report the client's vital signs to the RN Karmann listens to Mr. Stone's lung sounds. In addition to wheezes, he identifies crackes. Which of the following sounds should Karmann identify as crackles? correct answers A) This sound indicates crackles. Sounds like rice crispies. Karmann and David listem to Mr. Stone's lung sounds and identify crackles. Which of the following can lead to crackles? correct answers Mucus or fluid in small airways. Karmann is reviewing Mr. Stone's laboratory data with David. Which of the following laboratory tests is specific for heart failure? correct answers B-type natriuretic peptide Karmann and David are discussing Mr. Ston'es respiratory assessment. Which of the following actions should Karmann take? correct answers Administer furosemide (Lasix) 40 mg PO Karmann is preparing to administer the furosemide (Lasix) to Mr. Stone. Which of the following should Karmann monitor when administering furosemide? (Select all) correct answers - Serum sodium level -Serum potassium level -Intake and Output -Blood pressure In order to adhere to the provider's prescription of a 1,500 mL fluid restriction, Karmann should tell Mr. Stone that he needs to restrict his fluid intake to how many cups of fluid per day? correct answers 6