The home health care nurse is conducting a home visit with an older adult client who has a history of coronary artery disease, hypertension, and heart failure. The client has a new prescription for furosemide 40 mg PO daily. Which statement by the client indicates a correct understanding of taking this new medication safely?

The telemetry monitor alarms for your client. The 6 second rhythm strip is seen here. Your first action is to:

During report the LPN is told that the patient has orthopnea due to valvular heart disease. The LPN expects to find the patient:

A client with hypertension is willing to implement lifestyle changes to reduce blood pressure. Which changes would be beneficial in reducing the client's blood pressure? (Select all that apply.)

Your client has been prescribed warfarin for the prevention of blood clots due to atrial fibrillation. Which statement by the client shows that the client understands their medication.

A client arrives in the emergency department with chest pain, but all test results come back negative. The healthcare provider diagnoses the client with angina pectoris and orders additional testing. Which test requires the client to exercise on a treadmill while being monitored for myocardial ischemia?

A nurse caring for a client with peripheral arterial insufficiency determined the nursing diagnosis of altered peripheral arterial insufficiency. Which intervention will be most appropriate for the client?

The nurse is performing an assessment on a client with a history of cardiovascular disease, diabetes, hypertension, and hypothyroidism. The client is experiencing exhaustion with simple activities of daily living and short ambulation, and states a 5-pound weight gain over 4 days. Assessment reveals 4+ edema to lower extremities and jugular distention. The nurse will report findings to the health care provider and anticipates which medical condition?

Your client: Chester Payne
Age: 78 years old

Past medical history. History of persistent atrial fibrillation, hypertension, hyperlipidemia and osteoarthrosis.
Yesterday: Client was admitted for a diagnosis of atrial fibrillation with rapid ventricular response (RVR). Later in the day, the client's heart rhythm was converted to normal sinus rhythm using intravenous medication therapy.
0900 today: Client is sitting up in the bedside recliner. Client reports "racing heartbeat" and feeling "like I can't get a good deep breath" Upon auscultation the nurse hears an irregular heart rhythm.
Assessment is as follows:
Neurological: Alert and oriented x 4
Eyes, Ear, Nose, and Throat (EENT): Normocephalic, denies sore throat, denies nasal congestion, denies vision changes. No swelling or drainage visualized.
Pulmonary: Reports some shortness of breath (SOB), no cough. Lungs sound clear in all fields. Cardiovascular: Irregular heart rhythm auscultated. Denies chest pain. Skin is warm and dry to the touch. Capillary refill > 3 seconds. 2+ bilateral lower extremity edema. Peripheral pulse 1+ equal bilaterally. Jugular vein distention (JVD) is noted
Gastrointestinal: Abdomen rounded and firm. Reports slight nausea, bowel sounds hypoactive x 4 quadrants. Reports bowel movement prior to admission.
Genitourinary: Voiding clear yellow urine without issues as per client self-report.
Musculoskeletal: Full range of motion against resistance.

When the nurses reassesses the patient, which finding demonstrates that the intervention was successful?

The nurse is assessing a client who reports pain to the left lower extremity, especially while ambulating. The discomfort is relieved with rest. Assessment findings confirm left lower leg mottling and hairlessness. Which health problem will the nurse most likely include in the planning of the client's care?

The nurse working at a community health fair is assessing risk factors for hypertension. Which client does the nurse recognize as having the greatest risk factor?