A&E II Exam 2 (Week 5,6, 7, 8 Class) 340 questions| with complete solutions

The home care nurse visits a patient with chronic heart failure who is taking digoxin and furosemide. The patient complains of nausea and vomiting. Which action is most appropriate for the nurse to take? A:Perform a dipstick urine test for protein. B:Notify the health care provider immediately. C: Have the patient eat foods high in potassium. D:Ask the patient to record a weight every morning. correct answer: B: Notify the health care provider immediately. A patient with left-sided heart failure is prescribed oxygen at 4 L/min per nasal cannula, furosemide, spironolactone, and enalapril. Which assessment should the nurse complete to best evaluate the patient's response to these drugs? A: Observe skin turgor B: Auscultate lung sounds C: Measure blood pressure D: Review intake and output correct answer: B: Auscultate lung sounds Left = Lungs While assessing a 68-year-old with ascites, the nurse also notes jugular venous distention (JVD) with the head of the patient's bed elevated 45 degrees. The nurse knows this finding indicates ased fluid volume. ar vein atherosclerosis. ased right atrial pressure. petent jugular vein valves. correct answer: ased right atrial pressure. The jugular veins empty into the superior v