Atrial Fibrillation Case Study

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Brain Heart Failure with Atrial Fibrillation 1. Have you ever had a heart attack? 2. Edema 3. Atrial Fibrillation 4. Administer Digoxin 5. Pulmonary Artery Catherization 6. 1 7.Blood Pressure 8. Prevent straining during a bowel movement 9. Serum Digoxin level at 0.1 ng/ml 10. Impaired gas exchange 11. Encourage frequent rest periods 12. Elevate the bed of Bert's bed 13. Do not stop taking any prescribed potassium supplements Regular blood draws 14. Avoid abrupt transitions to an erect posture 15. Signs of angioedema 16. Reduction of cardiac overload 17. Obtain a serum potassium level 18. Hypercalcemia 19. Anorexia, Nausea and Vomiting 20. Potassium 21. An experienced critical care RN (float) 22. Obtain an oxygen…show more content…
Administer a prescribed stool softener as needed (PRN). Jeff requests "something for his headache." Which medication is best for the nurse to administer to Jeff for his complaint of headache? ) Acetaminophen (Tylenol). CORRECT This is the best choice, because Tylenol is a non-opioid analgesic, and it will not cause CNS depression. eff is medicated and reports that his headache is relieved. The nurse continues to monitor Jeff's vital signs, and his neurologic status is assessed using the Glascow Coma Scale (GCS). About an hour later, Jeff's Glascow Coma Scale rating changes from 13 Diminished neurologic status. CORRECT The GCS numerical rating ranges from 3 to 15, with 15 being the best rating, and 3 indicating a poor prognosis and high mortality rate. Any decrease of two points or more is considered significant, requiring notific What are the three components measured by the GCS? Verbal response, motor response, and eye opening. CORRECT The GCS measures responses that are spontaneous and completely oriented to responses only from noxious stimuli to no response at all. The client is observed for abnormal decorticate (flexor)

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