A 58-year-old male patient with a history of hypertension and type 2 diabetes mellitus is admitted to the medical-surgical unit with a diagnosis of left-sided congestive heart failure (CHF). He is experiencing dyspnea, orthopnea, and bilateral ankle edema. His current medications include Metformin, Lisinopril, and Furosemide. Upon assessment, the nurse notes an S3 heart sound, jugular venous distention, and crackles halfway up both lung fields. The patient's blood pressure is 158/92 mmHg, heart rate is 102 bpm, respiratory rate is 22 breaths/min, and oxygen saturation is 89% on room air. Which of the following nursing interventions should be prioritized? A) Increase the rate of the intravenous (IV) Furosemide infusion. B) Assist the patient to a high Fowler’s position and administer supplemental oxygen. C) Initiate a sliding scale insulin protocol. D) Increase Lisinopril dosage as per sliding scale.
A 58-year-old male patient with a history of hypertension and type 2 diabetes mellitus is admitted to the medical-surgical unit with a diagnosis of left-sided congestive heart failure (CHF). He is experiencing dyspnea, orthopnea, and bilateral ankle edema. His current medications include Metformin, Lisinopril, and Furosemide. Upon assessment, the nurse notes an S3 heart sound, jugular venous distention, and crackles halfway up both lung fields. The patient's blood pressure is 158/92 mmHg, heart rate is 102 bpm, respiratory rate is 22 breaths/min, and oxygen saturation is 89% on room air. Which of the following nursing interventions should be prioritized? A) Increase the rate of the intravenous (IV) Furosemide infusion. B) Assist the patient to a high Fowler’s position and administer supplemental oxygen. C) Initiate a sliding scale insulin protocol. D) Increase Lisinopril dosage as per sliding scale.
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
Related questions
Question
A 58-year-old male patient with a history of hypertension and type 2 diabetes mellitus is admitted to the medical-surgical unit with a diagnosis of left-sided congestive heart failure (CHF). He is experiencing dyspnea, orthopnea, and bilateral ankle edema. His current medications include Metformin, Lisinopril, and Furosemide.
Upon assessment, the nurse notes an S3 heart sound, jugular venous distention, and crackles halfway up both lung fields. The patient's blood pressure is 158/92 mmHg, heart rate is 102 bpm, respiratory rate is 22 breaths/min, and oxygen saturation is 89% on room air.
Which of the following nursing interventions should be prioritized?
A) Increase the rate of the intravenous (IV) Furosemide infusion.
B) Assist the patient to a high Fowler’s position and administer supplemental oxygen.
C) Initiate a sliding scale insulin protocol.
D) Increase Lisinopril dosage as per sliding scale.
Upon assessment, the nurse notes an S3 heart sound, jugular venous distention, and crackles halfway up both lung fields. The patient's blood pressure is 158/92 mmHg, heart rate is 102 bpm, respiratory rate is 22 breaths/min, and oxygen saturation is 89% on room air.
Which of the following nursing interventions should be prioritized?
A) Increase the rate of the intravenous (IV) Furosemide infusion.
B) Assist the patient to a high Fowler’s position and administer supplemental oxygen.
C) Initiate a sliding scale insulin protocol.
D) Increase Lisinopril dosage as per sliding scale.
Expert Solution
This question has been solved!
Explore an expertly crafted, step-by-step solution for a thorough understanding of key concepts.
Step by step
Solved in 3 steps
Recommended textbooks for you
Phlebotomy Essentials
Nursing
ISBN:
9781451194524
Author:
Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:
JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession…
Nursing
ISBN:
9780323414425
Author:
Robert J Hubert BS
Publisher:
Saunders
Fundamentals Of Nursing
Nursing
ISBN:
9781496362179
Author:
Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:
Wolters Kluwer,
Phlebotomy Essentials
Nursing
ISBN:
9781451194524
Author:
Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:
JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession…
Nursing
ISBN:
9780323414425
Author:
Robert J Hubert BS
Publisher:
Saunders
Fundamentals Of Nursing
Nursing
ISBN:
9781496362179
Author:
Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:
Wolters Kluwer,
Fundamentals of Nursing, 9e
Nursing
ISBN:
9780323327404
Author:
Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:
Elsevier Science
Study Guide for Gould's Pathophysiology for the H…
Nursing
ISBN:
9780323414142
Author:
Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:
Saunders
Issues and Ethics in the Helping Professions (Min…
Nursing
ISBN:
9781337406291
Author:
Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:
Cengage Learning