MED SURG II HESI (Elsevier)
A client is admitted for dehydration, and an intravenous (IV) infusion of normal
saline at 125 mL/hr has been started. One hour after the IV initiation the client
begins screaming, "I can't breathe!" The nursing priority action is: - answer
Elevate the head of the bed and obtain vital signs
A nurse is assessing a client with a diagnosis of early left ventricular heart failure.
Specific to this type of heart failure, the nurse expects the client to state: - answer
4. "I have trouble breathing when I walk rapidly
A client who had a myocardial infarction asks the nurse, "What's the chance of my
having another heart attack if I carefully watch my diet and stress levels?" What is
the nurse's most appropriate initial response?
. – answer 1. Focus on the client's feelings by exploring the reason why the
question was asked.
The nurse is assessing a client for signs of right ventricular failure. What should
the nurse expect if this occurs? – answer 3. Neck vein distention
A client is admitted for dehydration, and an intravenous (IV) infusion of normal
saline at 125 mL/hr has been started. One hour after the IV initiation the client
begins screaming, "I can't breathe!" The nursing priority action is: - answer
Elevate the head of the bed and obtain vital signs
A nurse is assessing a client with a diagnosis of early left ventricular heart failure.
Specific to this type of heart failure, the nurse expects the client to state: - answer
4. "I have trouble breathing when I walk rapidly
A client who had a myocardial infarction asks the nurse, "What's the chance of my
having another heart attack if I carefully watch my diet and stress levels?" What is
the nurse's most appropriate initial response?
. – answer 1. Focus on the client's feelings by exploring the reason why the
question was asked.
The nurse is assessing a client for signs of right ventricular failure. What should
the nurse expect if this occurs? – answer 3. Neck vein distention
