Left-sided heart failure.
1. A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect?
a. Bradycardia
b. Flushed skin
c. Frothy sputum – pg.198
d. Jugular vein distention
2. A nurse is assessing a client who is experiencing renal colic from a calculus in left renal pelvis. Identify the area where the nurse should expect the client to have referred pain. (Find “hot spots” in the artwork)
3. A nurse is caring for a client who is receiving peritoneal dialysis and notes a decrease in the dialysate flow rate. Which of the following actions should the nurse take?
a. Monitor the access site for drainage.
b. Strip the catheter tubing
c. Measure the amount of the dialysate outflow
d. Raise the client to high fowlers position – pg.370: encourage client to lie Supine with head slightly elevated during CCPD and APD treatment.
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