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Use of the incentive spirometer post-operatively will achieve:

Mr. Johnson, a 68-year-old male, was admitted to the inpatient cardiovascular stepdown unit following a myocardial infarction (MI) and coronary artery bypass graft (CABG) surgery. He has a history of chronic obstructive pulmonary disease (COPD) and is a former smoker. The physical therapy evaluation occurred post-op day (POD) 2. The physical therapist has passed Mr. Johnson to you to treat. Initial Assessment The initial evaluation notes the following: Heart rate: 82 bpm Blood pressure: 128/76 mmHg Oxygen saturation: 93% on 2L O2 nc Respiratory rate: 22 breaths/minute Incision site on chest: healing well, no signs of infection Mild edema in lower extremities Shortness of breath with minimal exertion   Bed mobility: Supine to/from sitting with mod assist to upper trunk Transfers: Sit to stand at RW with mod A Gait training: Gait x 25’ with RW and minimal assistance for balance POC: ther ex, bed mobility, transfer training, gait training, stair training, functional activity tolerance and pt education on sternal precautions and cardiac rehab. D/C recommendation: Acute inpatient rehab secondary to pt living alone with 12 steps to enter. As Mr. Johnson approaches discharge, you need to prepare him for home exercises and outpatient cardiac rehabilitation. Which of the following recommendations is most appropriate for Mr. Johnson’s home exercise program?

A patient with hypertension is taking furosemide [Lasix] for congestive heart failure. The prescriber orders digoxin to help increase cardiac output. What other medication will the nurse expect to be ordered for this patient?

While assessing the patient, the nurse notes severe edema of the hands and feet from third spacing. The patient is having signs and symptoms of intravascular dehydration, and the total protein laboratory result is 4.6 g/dL (normal value is 6.0 to 8.3 g/dL). The nurse anticipates the health care provider will prescribe which IV solution for this patient?