Patient with acute left sided heart failure

Patient with acute left sided heart failure

Question 3

The nurse receives change-of-shift report on the following four patients. Which patient should the nurse assess first?

A 77-year-old patient with tuberculosis (TB) who has four antitubercular medications due in 15 minutes
A 23-year-old patient with cystic fibrosis who has pulmonary function testing scheduled
A 46-year-old patient who has a deep vein thrombosis and is complaining of sudden onset shortness of breath.
A 35-year-old patient who was admitted the previous day with pneumonia and has a temperature of 100.2° F (37.8° C)

Question 4

Which information will the nurse include in the patient teaching plan for a patient who is receiving rifampin (Rifadin) for treatment of tuberculosis?

“Your urine, sweat, and tears will be orange colored.”
“Read a newspaper daily to check for changes in vision.”
“Take vitamin B6 daily to prevent peripheral nerve damage.”
“Call the health care provider if you notice any hearing loss.”

Question 5

Which initial physical assessment finding would the nurse expect to be present in a patient with acute left sided heart failure?

bubbling crackles and dyspnea
hepatosplenomegaly and tachypnea
peripheral edema and cool, diaphoretic skin
frothy, blood-tinged sputum and distended jugular veins

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