What is the correct nursing diagnosis for a 78-year-old with chronic heart failure?
During a visit to a 78-yr-old patient with chronic heart failure, the home care nurse finds that the patient has ankle edema, a 2-kg weight gain over the past 2 days, and complains of "feeling too tired to get out of bed." Based on these data, a correct nursing diagnosis for the patient is a. activity intolerance related to fatigue.
When does the nurse need to notify the health care provider?
When monitoring the patient, the nurse will need to notify the health care provider immediately if the patient develops a. oxygen saturation of 93%. b. respirations of 20 breaths/minute.
How does a nurse teach an older female patient with heart failure?
The nurse working on the heart failure unit knows that teaching an older female patient with newly diagnosed heart failure is effective when the patient states that a. she will take furosemide (Lasix) every day at bedtime. b. the nitroglycerin patch is to be used when chest pain develops.
What does a nurse do in a subarachnoid hemorrhage?
The nurse is caring for a patient with a subarachnoid hemorrhage who is intubated and placed on a mechanical ventilator with 10 cm H2O of peak end-expiratory pressure (PEEP). When monitoring the patient, the nurse will need to notify the health care provider immediately if the patient develops a. oxygen saturation of 93%.
How is gestational diabetes diagnosed?
Initial glucose challenge test. You'll drink a syrupy glucose solution. One hour later, you'll have a blood test to measure your blood sugar level. A blood sugar level of 190 milligrams per deciliter (mg/dL), or 10.6 millimoles per liter (mmol/L), indicates gestational diabetes.
Does blood sugar increase after exercise?
But you might see blood glucose go up after exercise, too. Some workouts, such as heavy weightlifting, sprints, and competitive sports, cause you to produce stress hormones (such as adrenaline). Adrenaline raises blood glucose levels by stimulating your liver to release glucose.
How does exercise affect blood glucose?
Exercise draws on reserve sugar stored in your muscles and liver. As your body rebuilds these stores, it takes sugar from your blood. The more strenuous your workout, the longer your blood sugar will be affected. Low blood sugar is possible even four to eight hours after exercise.
Does exercise LOWER blood glucose?
When you do moderate exercise, like walking, that makes your heart beat a little faster and breathe a little harder. Your muscles use more glucose, the sugar in your blood stream. Over time, this can lower your blood sugar levels. It also makes the insulin in your body work better.
Does coffee raise blood sugar?
For most young, healthy adults, caffeine doesn't appear to noticeably affect blood sugar (glucose) levels, and having up to 400 milligrams a day appears to be safe.
Which exercise reduces sugar?
Some of the recommended exercises include light walking or simple resistance exercises like squats or leg raises. Other useful forms of exercise include weightlifting, brisk walking, running, biking, dancing, hiking, swimming, and more.
Why does insulin decrease during exercise?
In summary, during exercise there is a decrease in plasma insulin due to increased sympathetic activity and inhibition of pancreatic insulin release. This decrease in insulin does not impede muscle glucose uptake which occurs via mechanisms independent of insulin.
Why is glucose higher in the morning?
In the early hours of the morning, hormones, including cortisol and growth hormone, signal the liver to boost the production of glucose, which provides energy that helps you wake up. This triggers beta cells in the pancreas to release insulin in order to keep blood glucose levels in check.
Does exercise raise blood pressure?
How Does Exercise Affect Blood Pressure? Exercise can increase blood pressure, but the effects are typically temporary. Your blood pressure should gradually return to normal after you finish exercising. The quicker your blood pressure returns to its resting level, the healthier you probably are.
Is watermelon good for diabetes?
Watermelon is safe for people with diabetes to eat in moderation. However, it is best to consume watermelon and other high GI fruits alongside foods that contain plenty of nutritious fats, fiber, and protein.
Is oatmeal good for diabetics?
Oatmeal offers a host of health benefits and can be a great go-to food for those with diabetes, as long as the portion is controlled. One cup of cooked oatmeal contains approximately 30 grams of carbs, which can fit into a healthy meal plan for people with diabetes.
Is red meat good for diabetes?
Eating even small amounts of red meat, such as beef, pork, or lamb, may increase the risk of diabetes. A 2020 study showed that eating just 50 g red meat or fish each day can raise diabetes risk by 11%. Also, people with diabetes should consider avoiding or limiting the intake of: breaded, fried, and high-sodium meats.
Why is my blood sugar high after walking?
So, when you do certain types of workouts, predominantly anaerobic exercises, your body tries to ensure that you have the energy to be successful. It does this by releasing hormones that allow energy, in the form of glucose, to be released into your bloodstream. And that can raise blood sugars.”
Can walking 30 minutes a day lower blood sugar?
Good news: Two new studies found that exercising 30 minutes a day reduces your risk of diabetes by 25 percent, and walking for 10 minutes after meals lowers your blood sugar by 22 percent.
What is the best time for diabetics to exercise?
In general, the best time to exercise is one to three hours after eating, when your blood sugar level is likely to be higher. If you use insulin, it's important to test your blood sugar before exercising.
Can drinking a lot of water lower your blood sugar?
By drinking water lots of water you can reduce your blood sugar as it indirectly will reduce insulin resistance and help reduce hunger.
What degree does ADHF affect the head of the bed?from quizlet.com
Because the patient's major clinical manifestation of ADHF is orthopnea (caused by the presence of fluid in the alveoli), the best indicator that the medications are effective is a decrease in dyspnea with the head of the bed at 30 degrees.
What is the difference between orthopnea and paroxysmal nocturnal dyspnea?from quizlet.com
Paroxysmal nocturnal dyspnea is caused by the reabsorption of fluid from dependent body ares when the patient is sleeping and is characterized by waking up suddenly with the feeling of suffocation. Pulsus alternans is the alternation of strong and weak peripheral pulses during palpation. Orthopnea indicates that the patient is unable to lie flat because of dyspnea. Pleural effusions develop over a longer time period.
What does JVD mean in nursing?from quizlet.com
1. While assessing a 68-yr-old with ascites, the nurse also notes jugular venous distention (JVD) with the head of the patient's bed elevated 45 degrees. The nurse knows this finding indicates
What does a nurse learn when admitting an 82 year old with acute decompensated heart failure?from quizlet.com
While admitting an 82-year-old with acute decompensated heart failure to the hospital, the nurse learns that the patient lives alone and sometimes confuses the "water pill" with the "heart pill." When planning for the patient's discharge the nurse will facilitate a
Why should you take diuretics early in the day?from quizlet.com
Diuretics should be taken early in the day to avoid sleep disruption. 10. While admitting an 82-yr-old patient with acute decompensated heart failure to the hospital, the nurse learns that the patient lives alone and sometimes confuses the "water pill" with the "heart pill.".
What is IV nitroprusside?from quizlet.com
IV sodium nitroprusside is ordered for a patient with acute pulmonary edema. During the first hours of administration, the nurse will need to titrate the nitroprusside rate if the patient develops
What is the role of a home health nurse?from quizlet.com
A home health nurse will assess the patient's home situation and help the patient develop a method for taking the two medications as directed. There is no evidence that the patient requires services such as a psychologist consult, long-term care, or around-the-clock home care.
What degree should the head of the patient's bed be?
d. Elevate the head of the patient's bed to 45 degrees.
What does CVP mean after aneurysm surgery?
Following surgery for an abdominal aortic aneurysm, a patient's central venous pressure (CVP) monitor indicates low pressures. Which action is a priority for the nurse to take?
How often should a monitoring equipment be calibrated?
a. balances and calibrates the monitoring equipment every 2 hours.
Why do nurses move patients during seizure?
The nurse may need to move the patient to decrease the risk of injury during the seizure. A high school teacher who has just been diagnosed with epilepsy after having a generalized tonic-clonic seizure tells the nurse, "I cannot teach anymore, it will be too upsetting if I have a seizure at work.".
Why is recording the length and details of a seizure important?
Because the diagnosis and treatment of seizures frequently are based on the description of the seizure, recording the length and details of the seizure is important. Insertion of an oral airway and restraining the patient during the seizure are contraindicated. The nurse may need to move the patient to decrease the risk of injury during the seizure.
What are the three characteristic manifestations of Parkinson's disease?
The diagnosis of Parkinson's is made when two of the three characteristic manifestations of tremor, rigidity , and bradykinesia are present. The confirmation of the diagnosis is made on the basis of improvement when antiparkinsonian drugs are administered. This patient has symptoms of tremor and bradykinesia .
What is MS associated with?
c. "MS is associated with an increased risk for congenital defects."
How to tell if you have an absence seizure?
Symptoms of an absence seizure are staring and a brief loss of consciousness. In an atonic seizure, the patient loses muscle tone and (typically) falls to the ground. Myoclonic seizures are characterized by a sudden jerk of the body or extremities.
What is the purpose of inserting an oral airway during a seizure?
a. Insert an oral airway during the seizure to maintain a patent airway.
Is chest pain a sign of MS?
ANS: B. Urinary tract problems with incontinence or retention are common symptoms of MS. Chest pain and skin rashes are not symptoms of MS. A decrease in libido is common with MS. A 31-year-old woman who has multiple sclerosis (MS) asks the nurse about risks associated with pregnancy.
How often should you reposition a patient?
b. Reposition the patient every 1 to 2 hours.
What is the pH of a patient's blood gas after mechanical ventilation?
Four hours after mechanical ventilation is initiated for a patient with chronic obstructive pulmonary disease (COPD), the patient's arterial blood gas (ABG) results include a pH of 7.51, PaO2 of 82 mm Hg, PaCO2 of 26 mm Hg, and HCO3- of 23 mEq/L (23 mmol/L). The nurse will anticipate the need to
What does it mean when your respiratory rate increases?
The increase in respiratory rate indicates that the patient may have decreased airway clearance and requires suctioning. Suctioning is done when patient assessment data indicate that it is needed, not on a scheduled basis. Occasional expiratory wheezes do not indicate poor airway clearance, and suctioning the patient may induce bronchospasm and increase wheezing. An oxygen saturation of 93% is acceptable and does not suggest that immediate suctioning is needed
What is the oxygen saturation of a patient?
a. The patient's oxygen saturation is 93%.
Why do family members want to remain in the room during CPR?
Research indicates that family members want the option of remaining in the room during procedures such as cardiopulmonary resuscitation (CPR) and that this decreases anxiety and facilitates grieving. The other options may be appropriate if the family decides not to remain with the patient
Should ICU visitation be individualized?
ICU visiting should be individualized to each patient and family rather than being dictated by rigid visitation policies. Inviting the family to participate in a multidisciplinary conference is appropriate but should not be the initial action by the nurse.