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Which measures will best help control of hypertension?  Select all that apply.

An older adult client is taking digitalis (Digoxin) 0.25 mg twice a day and furosemide (Lasix) 40 mg daily for heart failure (HF).  She has complained of increasing lethargy and nausea over the past 2 days; however she is still able to take her medication.  Her blood pressure is 150/98 mm Hg; pulse is 110 beats/min and irregular; respiratory rate is 18 breaths/min. What laboratory information is most important for the nurse to evaluate?

A client with Type A Hemophilla has been admitted to the hospital with severe pain and swelling in the right knee. What will the nurse do first?

What action will the nurse take when administering Heparin subcutaneously?

Intermittent claudication is a term used to describe what occurrence?

A client taking an ACE inhibitor has developed a dry, hacking cough.  Because of this side effect, the client no longer wants to take that medication.  What medication that has similar hemodynamic effects does the nurse anticipate the health care provider ordering?

Case Summary A 69-year-old male client is admitted to the medical-surgical unit for an evaluation of pain and edema of the right lower extremity. The onset of symptoms was 2 days prior to arrival. Client is diagnosed with a deep vein thrombosis requiring heparin therapy. The nurse on the medical-surgical unit is caring for a 69-year-old male client with pain and swelling of the right lower extremity.   Nurses’ Notes     Day 1. 0930 Admission note: Client admitted from the Emergency Department via stretcher and transferred to bed. Client is alert and oriented. Saline lock IV in the R antecubital vein patent. Right lower extremity noted to have 2+ pedal edema, pain 8/10 in right calf. Warmth noted to right calf. Positive Homan’s sign to R lower extremity noted. Client has positive motion and sensation to right lower extremity. Right pedal pulse weak, palpable. R lower extremity elevated on 2 pillows.  VS: BP 145/82, HR 96, RR 16, Temp 36.7C (98F). Client ordered to be on complete bedrest. Client made aware. 1010: Radiology called results of right leg ultrasound: Positive for deep vein thrombosis of the right posterior tibial vein. Provider made aware. New orders pending.   Nurses’ notes have been updated with most recent radiology results. Based on the above scenario, which interventions would be implemented for this patient’s plan of care?

Priority nursing actions for a hospitalized client with a new-onset temperature of 102.2°{“version”:”1.1″,”math”:”°”}F and severe neutropenia include which of the following? Select all that apply.

What is the primary collaborative goal of a client with lymphedema and resultant fluid volume excess?

A client had a repair of an abdominal aneurysm 2 days ago. Which of the following will the nurse report immediately to the health care provider?