# 1. George Brown, 72 years of age, is a male patient who is admitted with the...

###### Question:

1. George Brown, 72 years of age, is a male patient who is admitted with the diagnosis of acute pulmonary edema secondary to acute left ventricular heart failure. The patient has a history of coronary artery disease that has been treated medically. The patient is anxious, pale, cold, clammy, and dyspneic. The vital signs are: blood pressure 88/50 mm Hg, heart rate 110 bpm, respiratory rate 32 breaths/min, and temperature 97°F. There are bubbling crackles and wheezing throughout the lung fields and the patient is raising frothy blood-tinged clear sputum. The patient's admission weight is 100 kg. (Learning Objective a. What first actions should the nurse take and what are the rationales for these actions? The physician ordered furosemide (Lasix) 40 mg IVP STAT. b. What are the actions of furosemide that will help the patient? c. What nursing actions should be implemented when administering a diuretic? 2. Carl Edwards is a 75-year-old man with congestive heart failure. Having sustained three myocardial infarctions in the last 10 years, he has decreased left ventricular function. Mr. Edwards takes Digoxin, Capoten, Coreg, and Lasix for management of this disease. Today he presents to the emergency department with fatigue, generalized weakness, and feelings of "skipping" heartbeats. Upon arrival, he is placed on the cardiac monitor, his vital signs are assessed, and an IV is inserted. He currently denies chest pain, but is experiencing some shortness of breath, and is placed on 2 L of oxygen via nasal cannula. (Learning Objective 1) a. Which of his medications might be contributing to his symptoms of generalized weakness and heart irregularities? b. For what clinical manifestations should you assess to correlate to his left sided heart failure? c. How do his medications treat his congestive heart failure? d. How does the hypokalemia affect the effects of Digitalis?

#### Similar Solved Questions

##### Why is the astrometry method more difficult than the doppler method?
Why is the astrometry method more difficult than the doppler method?...
##### An organization monitors many aspects of elementary and secondary education nationwide. Their 1995 numbers are often...
An organization monitors many aspects of elementary and secondary education nationwide. Their 1995 numbers are often used as a baseline to assess changes. In 1995, 33% of students had not been absent from school even once during the previous school year. In the 1999 survey, responses from 8217 rando...
##### The nurse assesses for which clinical manifestation in a client with damage to the oculomotor nerve?...
The nurse assesses for which clinical manifestation in a client with damage to the oculomotor nerve? Decrease In visual acuity Diminished pupil reactivity to light Inability to gaze down Inability to gaze laterally Which answer is correct and why?...
##### Please help A rider on a high speed bike leans at angle of 57° to the...
please help A rider on a high speed bike leans at angle of 57° to the horizontal on a horizontal curved road of radius 100 m. Two possible speed rated accidents in this situation are: (1) skidding (sliding) off the way or (2) rolling over or tumbling down. Analyze the force diagram representativ...
##### Please answer ALL 3 questions with correct answers, solutions not required. Thank you:) Question 1 Question...
Please answer ALL 3 questions with correct answers, solutions not required. Thank you:) Question 1 Question 21 Iecoreect. Would you like to view an animated Question 31 Correct Question 3 2d The charges in the figure above both have a magnitude of 7.70 nC, and the distance d is 7.50 cm What is the...
##### 2. (30 POINTS) A spherical shell of radius R holds a potential on its surface of:...
2. (30 POINTS) A spherical shell of radius R holds a potential on its surface of: V(R, 0) = V.(1 + 2cose - cos20) (a.) Find the potential inside and outside the sphere. (b.) Find the surface charge density on the sphere. (c.) Find the dipole moment and the dipole term of the electric field, Epip....
Help me on the Finance homework. Please show me in excel. Assume that you are a financial manager for Varsity Sweaters a wholesaler of university branded clothing to college and university book stores. On December 31, 2013 Varsity Sweaters had sold $2,500,000 in products on account to various campus... 1 answer ##### Critical Thinking in Nursing Practice Medical treatment stabilized Mr. Lawson's condition. He had a pulmonary embolus,... Critical Thinking in Nursing Practice Medical treatment stabilized Mr. Lawson's condition. He had a pulmonary embolus, but he is now on anticoagulants, medications that will reduce likelihood of more clot formation. Knowing that Mr. Lawson is on anticoagulants and has had recent surgery and the ... 1 answer ##### The wave function for a harmonic wave on a string is y(x, t) = (0.0060 m)... The wave function for a harmonic wave on a string is y(x, t) = (0.0060 m) sin((53.8 m-1)x + (304 s-1)t). What is its speed? m/s (b) Find the wavelength of this wave. m Find its frequency. Hz Find its period. s (c) What is the maximum speed of any string segment? m/s... 1 answer ##### Use Descartes’ circle method to determine the slope of the normal line (and subsequently, the slope... Use Descartes’ circle method to determine the slope of the normal line (and subsequently, the slope of the tangent line) to y = x5/2... 1 answer ##### You are given a sample that contains phospholipids, cholesterol, triglycerides, sphingolipids, and fatty acids. Describe a... You are given a sample that contains phospholipids, cholesterol, triglycerides, sphingolipids, and fatty acids. Describe a method by which you could separate and quantify the different lipid classes.... 1 answer ##### These items are taken from the financial statements of Sheffield Corp. for 2017. Retained earnings (beginning... These items are taken from the financial statements of Sheffield Corp. for 2017. Retained earnings (beginning of year) Utilities expense Equipment Accounts payable Cash Salaries and wages payable Common stock Dividends Service revenue Prepaid insurance Maintenance and repairs expense Depreciation ex... 1 answer ##### In a game, a person flips a fair coin twice, and based on the number of... In a game, a person flips a fair coin twice, and based on the number of heads observed, he will be allowed to shoot so many times (equal to the number of heads observed) on a target. Assume the probability of hitting a target in one shot is 0.25. If the person obtained two heads, what is the probabi... 2 answers ##### On December 31, 2021, Sheridan Company had 1,310,000 shares of$7 par common stock issued and...
On December 31, 2021, Sheridan Company had 1,310,000 shares of $7 par common stock issued and outstanding. At December 31, 2021, stockholders' equity had the amounts listed here. Common Stock Additional Paid-in Capital Retained Earnings$9,170,000 1,860,000 1,120,000 Transactions during 2022 and...