The clinic nurse is evaluating a client who had coronary artery stenting through the right
femoral artery a week previously and is taking metoprolol,
... [Show More] clopidogrel, and aspirin.
Which information reported by the client is *most* important to report to the health care
provider?
•Stools have been black in color
•Bruising is present at the right groin
•Home blood pressure today was 104/52 mm Hg
•Home radial pulse rate has been 55 to 60 beats/min - ANS-•Stools have been black in
color
•Dark or tarry stools may indicate gastrointestinal bleeding, which is a possible adverse
effect of both aspirin and clopidogrel. The client will need to continue on the medications
but may need treatment with proton pump inhibitors or histamine2 blockers to decrease
risk for gastrointestinal bleeding. The other findings will also be reported to the health
care provider but will not require a change in the therapeutic plan for the client.
Which topics will the nurse plan to include in discharge teaching for a client who has
been admitted with heart failure? *Select all that apply.*
•How to monitor and record daily weight
•Importance of stopping exercise if heart rate increases
•Symptoms of worsening heart failure
•Purpose of chronic antibiotic therapy
•How to read food labels for sodium content
•Date and time for follow-up appointments - ANS-•How to monitor and record daily
weight
•Symptoms of worsening heart failure
•How to read food labels for sodium content
•Date and time for follow-up appointments
•To avoid rehospitalization, topics that should be included when discharging a client with
heart failure include low-sodium diet, purpose and common side effects of medications
such as angiotensin-converting enzyme inhibitors and beta-blockers, what to do if
symptoms of worsening heart failure occur, and follow-up appointments. The nurse will
teach the client that a moderate increase in heart rate and respiratory effort is normal
with exercise. Antibiotics are not included in the treatment regimen for heart failure,
which is not an infectious process.
The nurse is reviewing the laboratory results for a client with an elevated cholesterol
level who is taking atorvastatin. Which result is *most* important to discuss with the
health care provider?
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