Question of the week for 02.01.10
A nurse is assigned to a client who has heart failure . During the morning rounds the nurse sees the client develop sudden anxiety, diaphoresis and dyspnea. The nurse auscultates, crackles bilaterally. Which nursing intervention should be performed first?
1. Take the client's vital signs
2. Place the client in a sitting position with legs dangling
3. Contact the health care provider
4. Administer the prn antianxiety agent
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1 comment:
The correct answer is number: 2
Black, J., Hawks, J., & Keene, A.
Medical surgical nursing: Clinical management for positive outcomes (8th ed.).(2009).
St. Louis, MO: Elsevier.
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