The nurse closely monitors the fluid balance of a patient in congestive heart failure. with the knowledge that additional sodium and water retention occur in an already congested vascular system as the result of: excessive release of ADH from stress response decreased blomerular biood flow in the kidney venous conesstion in the liver decreased pressure in lunt arterioles. The nurse identifies the collaborative problem of potential complication: pulmonary edema for a patient in acute congestive heart failure. To prevent severe symptoms, an early finding of this problem the nurse should monitor for is: bradycardia restlessness, change in tevel of consciousness decreased urinary output pink, frotiny sputim When the nurse is admitting an 80 - year-old woman with congestive heart failure to the medical unit, the patient says she lives alone and that she thinks she is confusing her "wat pill" with her "heart pill." The nurse makes a note that discharge planning for the patient should include: a reterral for a home health nurse. arrangements for a family member to be with the paticnt afound-the-clock placement in a skillod nursind facility. transfer to a unit for dementia patients. A nurse is assessing a client diagnosed with an MI. The nurse adds a nursing diagnosis to the client's care plan of care of decreased cardiac output when which finding is noted on assessment? Vesicular breath sounds over lung ficlds Crackles auscultated in bilateral lung bases One-sided weakness Increased urinc output.

1. The nurse closely monitors the fluid balance of a patient in congestive heart failure. with the
knowledge that additional sodium and water retention occur in an already congested vascular
system as the result of: excessive release of ADH from stress response decreased blomerular
biood flow in the kidney venous conesstion in the liver decreased pressure in lunt arterioles. The
nurse identifies the collaborative problem of potential complication: pulmonary edema for a
patient in acute congestive heart failure. To prevent severe symptoms, an early finding of this
problem the nurse should monitor for is: bradycardia restlessness, change in tevel of
consciousness decreased urinary output pink, frotiny sputim When the nurse is admitting an 80 -
year-old woman with congestive heart failure to the medical unit, the patient says she lives alone
and that she thinks she is confusing her "wat pill" with her "heart pill." The nurse makes a note
that discharge planning for the patient should include: a reterral for a home health nurse.
arrangements for a family member to be with the paticnt afound-the-clock placement in a skillod
nursind facility. transfer to a unit for dementia patients. A nurse is assessing a client diagnosed
with an MI. The nurse adds a nursing diagnosis to the client's care plan of care of decreased
cardiac output when which finding is noted on assessment? Vesicular breath sounds over lung
ficlds Crackles auscultated in bilateral lung bases One-sided weakness Increased urinc output