Question

An 80 year old female client is admitted to a telemetry with an...

An 80 year old female client is admitted to a telemetry with an excerbation of herst failure. she reports a medical history of osteoarthritis, chronic renal insufficiency ,and coronary artery disease including a myocardial infarction and coronary artery bypass surgery 22 years ago she is alert and her daughter is at her bedside. indicate which nursing action listed in the far left column is appropriate for each potential heart failure complication

Answer & Explanation
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There are a lot of possible interventions as well as the complications these are seen below

 

 

Step-by-step explanation
CompluicationNursing action
acute pulmonary edema

Reduce sodium intake to 1g daily, 

weight the client each morning, 

administer furosemide 20mg IV push

Fatigue

Reposition every 2 hours while in bed

Counsult cardiac rehabilitation specialist

Hypokalemia

Administer potassium supplements

monitor serum electrolytes

Cardia dysrrhtmiamonitor ECG,
Hypoxemia

administer oxygen therapy

Teach client purse lip breathing

Monitor oxygen saturation