Complete Solutions
1. Client was brought to the emergency department by his son with reports of difficulty
breathing and inability to walk short distances without becoming extremely short of breath.
Client is a 72-year-old African American man with a history of obesity, hypertension, coronary
artery disease, and diabetes mellitus. Client reports fatigue related to difficulty sleeping at
night as a result of a nonproductive cough that is unresolved with cough drops. Client reports
a weight gain of 10 pounds in the past week, despite his decreased appetite. The son reports
that his father has been unable to care for himself as a result of the fatigue and increasing
shortness of breath. He states "he has not showered in over a week."
Assessment findings:
Cardiovascular: Sinus tachycardia with occasional premature ventricular contractions (PVCs).
No murmur noted
Respiratory: Tachypnea, inspiratory crackles auscultated throughout bilateral CORRECT
ANS-The nurse is preparing a plan of care for the client. Based on the information provided,
choose the potential condition with anticipated medication and side effect from the list of
options provided.
Potential condition:
heart failure
, EXAM: EAQ with NGN: Cardiac Questions with
Complete Solutions
Anticipated Medications:
-nitroglycerin
-furosemide
Side effects to monitor:
-hypotension
-hypokalemia
2. A 64-year-old male client has arrived for an appointment at the outpatient clinic because of
difficulty breathing and a rash.
History:
Hypertension
Hypothyroidism
Depression
Erectile dysfunction