A client is on a 1500 ml fluid restriction and 2 gm sodium diet due to a diagnosis of Heart Failure.  The nurse enters a client’s room and finds her in the bathroom drinking water from the sink.  What is the best nursing action?

A client has decreased cardiac output related to ineffective ventricular filling, and loss of atrial kick secondary to ventricular dysrhythmias.  To evaluate whether the client is successfully maintaining adequate cardiac output and tissue perfusion, what is the best nursing intervention?

A client with left ventricular heart failure is taking Lanoxin (Digoxin) 0.25mg. What changes does the nurse expect to find if this medication is therapeutically effective?   Select all that apply.

What will the client be taught regarding a digitalis medication?

A client just had an internal demand pacemaker inserted for the diagnosis of atrial fibrillation. While providing education for the client, the nurse informs the client that this type of pacemaker will provide what action?

During client education at the outpatient clinic, the client diagnosed with primary hypertension asks the nurse, “Why do I have high blood pressure?” Which response by the nurse is most appropriate?

The nurse is caring for a 63 year old female with history of hypertension and complaints of shortness of breath.  Day 1: Bilateral breath sounds clear and present throughout, Weight 80kg(176 LB), Urine output 480ml/8 hours. Vital Signs: Temp-99.7, BP 108/50, Pulse 98, Resp rate-20, O2Sat 95% Room Air. Day 4: Breath sounds scattered, crackles heard bilaterally. Apical heart rate rapid and irregular. Audible s3 Gallop. Weight 82.1kg(181 LB). Urine output 320ml/8 hours. Vital Signs: Temp-98.2, BP 138/80,  Pulse 112, Resp rate-28, O2Sat 88% Room Air.  Provider Prescription: Lopressor 25mg PO Daily Lasix 20mg PO BID Potassium 10MEQ BID The nurse is reviewing the clients health history and assessment data. Which of the findings should the nurse address first?

What information will the nurse consider when deciding what nursing actions to delegate to a licensed practical/vocational nurse (LPN/LVN) who is working on a medical-surgical unit? Select all that apply.

In the care of a client receiving drug therapy for hypertension, which assessment best determines the effectiveness of the medication?

The nurse is educating a client about the care related to a new diagnosis of mitral valve prolapse.  What statement made by the client demonstrates understanding?