*NURSING > ATI MEDICAL SURGICAL > ATI Medical Surgical Nursing, Care of Patients with Cardiac Problems (All)
ATI Medical Surgical Nursing, Care of Patients with Cardiac Problems
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A client is admitted with early-stage heart failure. Which assessment finding does the nurse expect? a. A decrease in blood pressure and urine output b. An increase in creatinine and extremity ede... ma c. An increase in heart rate and respiratory rate d. A decrease in respirations and oxygen saturation ANS: C In heart failure, stimulation of the sympathetic nervous system represents the most immediate response. Adrenergic receptor stimulation causes an increase in heart rate and respiratory rate. Blood pressure will remain the same or will elevate slightly. Changes in creatinine occur when kidney damage has occurred, which is a later manifestation. Other later manifestations may include edema, increased respiratory rate, and lowered oxygen saturation readings. DIF: Cognitive Level: Comprehension/Understanding REF: p. 746 TOP: Client Needs Category: Physiological Integrity (Physiological Adaptation—Pathophysiology) MSC: Integrated Process: Nursing Process (Assessment) [Show More]
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