A nurse is collecting data from a client who has left sided heart failure. For which of the following findings should the nurse notify the provider?

Weight loss of 1 kg (2.2 lb) in the past 24 hr

Pale, clammy skin

Fatigue when ambulating 152 m (500 ft)

Productive cough with pink, frothy sputum

Answer and Explanation

The Correct Answer is D

A productive cough with pink, frothy sputum is indicative of pulmonary edema, which is a serious manifestation of left-sided heart failure.

It suggests fluid accumulation in the lungs, impairing gas exchange and oxygenation.

Prompt notification of the provider is crucial for appropriate intervention and management of the client's condition.

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Correct Answer is C

Explanation

Children often have difficulty understanding the complex nature of illness and death. They may develop feelings of guilt or responsibility for the situation, thinking that their behavior or actions caused the illness or its outcome.

It is important for the nurse to provide support, reassurance, and age-appropriate explanations to address the sibling's concerns and misconceptions.

A. "I will carry my baby to the nursery." B. "I can take my baby to the lobby to visit family." C. "I can remove my security band to give it to a family member." D. "I will have an identification band that matches the one my baby wears."

Correct Answer is D

Explanation

This statement shows that the mother understands the importance of having matching identification bands for herself and her baby. In healthcare facilities, identification bands are used as a security measure to ensure that newborns are correctly matched with their parents or caregivers. Having matching identification bands helps to prevent any mix-ups or unauthorized individuals from taking the baby. It demonstrates that the mother is aware of the security protocol and will actively participate in ensuring her baby's safety.

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A nurse is collecting data from a client who has left sided heart failure. For which of the following findings should the nurse notify the provider?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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