A 78-year-old female client in the skilled nursing facility…

A 78-year-old female client in the skilled nursing facility has had heart failure and chronic kidney disease. She is receiving furosemide by mouth twice daily, as well as lisinopril. This morning, the nurse notes the following;* weight has increased by 3 pounds (1.4kg) since yesterday*blood pressure is 158/92mmHg* Respiratory rate is 22, lungs have bilateral crackles at the bases*urine output in the past 8 hours is 240mL* the client reports mild shortness of breath and swelling in her anklesUSING CLINICAL REASONING, WHAT IS THE MOST APPROPRIATE NURSING ACTION?

A PN is caring for a client post-operatively who has been on…

A PN is caring for a client post-operatively who has been on bed rest for 48 hours. The nurse notices the client is complaining of shortness of breath(SOB), but the vital signs are stable, there is no fever, lung sounds are clear, and oxygen saturation is 96% on room air. The usual treatments have not alleviated the complaint. Which action demonstrates the nurse using critical thinking and cognitive skills to determine the most appropriate action?