Case Study
Ati RN pharmacology 2023 proctored exam
Select All That Apply
A nurse in a provider's office is caring for a client. Exhibits Click to highlight the findings from the current visit that indicate an improvement in the client's condition. To deselect a finding, click on the finding again. Nurses' Notes Current visit: Client here for follow-up visit. Was seen 1 week ago for worsening manifestations of heart failure. +1 nonpitting edema noted to feet and ankles. Client reports shortness of air improved and only occurs with significant exertion. Also states has more energy and is sleeping better. Client does report episodes of nausea and decreased appetite. Also states has had occasional dizziness. Today's weight is 78.9 kg (174 lb).
Explanation & Rationale
Reduction in edema from +3 pitting to +1 nonpitting indicates improved fluid volume status. Improved shortness of breath suggests better pulmonary and cardiac function. More energy and better sleep are signs of increased cardiac output and symptom relief. Weight loss of 3.2 kg (7 lb) in 1 week indicates successful diuresis and fluid reduction. Reported episodes of nausea and decreased appetite and occasional dizziness indicate persistent poor condition.
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