Before Answering This Question & Answer Guide (With Explanation)

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What This Question Is About

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How to Approach This Question

Structure your response with introduction, analysis, and conclusion.

Key Explanation

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Original Question

Before answering this question, review the client’s health information in the EHR. Which assessment changes demonstrate an anticipated response from the nurse’s actions? Select the five (5) that apply. Question 3Select one or more: Crackles decrease. Irregular heartbeats increase. Mean arterial pressure (MAP) changes from 108 to 99. Potassium level changes from 4.9 to 4.5 mEq/L. Edema changes from 3+ to 4+. Client disoriented to time. SpO2 changes from 92% to 95% Urine output changes from 42 mL/hour to 110 mL/hour. Heart rate changes from 102 to 110 beats/minute. JVD increases.States, “It’s still hard to catch my breath. I thought you said that medication would make it easier to breathe.”Prescriptions: Determine the client’s code status. • Apply oxygen – keep SpO2 > 95%. • Peripheral capped IV. • Furosemide 40 mg IV push, now. • Chest x-ray ASAP.7/18 1400 98.4 °F (36.8 °C) 102 22 140/92 (MAP 108) 92% RA 7/18 1420 98.4 °F (36.8 °C) 108 22 149/96 (MAP 108) 91% RA 7/18 1445 98.4 °F (36.8 °C) 106 22 151/94 (MAP 113) 93% 2L/NC

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