A nurse evaluates laboratory results for a client with heart failure. Which results should the nurse expect? (Select all that apply.)
a. Hematocrit: 32.8
b. Serum sodium: 130 mEq/L
c. Serum potassium: 4.0 mEq/L
d. Serum creatinine: 1.0 mg/dL
e. Proteinuria
f.
Microalbuminuria
Question 2A nurse assesses a client who has mitral valve regurgitation. For which cardiac dysrhythmia should the nurse assess?
a. Preventricular contractions
b. Atrial fibrillation
c. Symptomatic bradycardia
d. Sinus tachycardia
Question 3A nurse is caring for a client with acute pericarditis who reports substernal precordial pain that radiates to the left side of the neck. Which nonpharmacologic comfort measure should the nurse implement?
a. Apply an ice pack to the client's chest.
b. Provide a neck rub, especially on the left side.
c. Allow the client to lie in bed with the lights down.
d. Sit the client up with a pillow to lean forward on.
Question 4A nurse is assessing a client with left-sided heart failure. For which clinical manifestations should the nurse assess? (Select all that apply.)
a. Pulmonary crackles
b. Confusion, restlessness
c. Pulmonary hypertension
d. Dependent edema
e. Cough that worsens at night
Question 5A nurse cares for an older adult client with heart failure. The client states, I don't know what to do. I don't want to be a burden to my daughter, but I can't do it alone. Maybe I should die. How should the nurse respond?
a. Would you like to talk more about this?
b. You are lucky to have such a devoted daughter.
c. It is normal to feel as though you are a burden.
d. Would you like to meet with the chaplain?
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