An older adult patient with heart failure and hypertension w…

An older adult patient with heart failure and hypertension will soon be discharged home on an ACE inhibitor and a loop diuretic. The patient’s most recent vital signs prior to discharge include oxygen saturation of 93% on room air, heart rate of 81 beats per minute, and blood pressure of 105/64 mm Hg, all on trend or stable. When planning this patient’s subsequent care, what possible complication should the nurse anticipate?

Your 58 y/o male patient comes in with dehydration and confu…

Your 58 y/o male patient comes in with dehydration and confusion. He had not been eating well at home and was brought in by his son because of his altered mental status. When taking vital signs, you notice that he has carpal spasms when inflating the blood pressure cuff. What do you suspect is going on with the patient?

A 45 years of age male patient was admitted for uncontrolled…

A 45 years of age male patient was admitted for uncontrolled hypertension (HTN) and coronary artery disease (CAD). His history & physical exam showed: Occupation: sale man with stressful schedules and projects. The patient has a history of HTN and CAD His home medications included: metoprolol 25 mg q12h PO, acetylsalicylic acid (ASA, aspirin) 325 mg/day PO. He has averaged 1.5 packs of cigarettes per day for 20 years; an “occasional” beer (“a 6-pack every weekend with the football game”); a dietary history of fried and fast foods; and “no time for exercises”. His current weight is 235 pounds at 5’8”. He has a waist circumference of 48 inches. His vital signs: are 178/88, 82, 18, and 98.4° F. Father died of sudden cardiac death at the age of 42 Mother (still living) had a quadruple coronary artery bypass graft (CABG x4) at the age of 52 Matching the patient’s modifiable and nonmodifiable risk factors for CAD