AI Study Partner for Nursing Students
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QUESTION:
Can you provide a detailed lesson on the management of congestive heart failure (CHF), including the pathophysiology, nursing interventions, and pharmacological treatments? Please also include 5 NCLEX-RN style questions related to CHF management and a mnemonic to help remember the key elements of heart failure management. -
QUESTION:
As part of your capstone project, you are tasked with developing a comprehensive care plan for a 55-year-old male patient who was recently diagnosed with Type 2 Diabetes Mellitus (T2DM). The patient has a history of hypertension and hyperlipidemia and is overweight with a BMI of 32. He reports a sedentary lifestyle and poor dietary habits, including a high intake of processed foods and sugary beverages.
The goals of the care plan are to achieve optimal blood glucose control, reduce cardiovascular risk, and promote healthy lifestyle changes.
Tasks:
- Identify three priority nursing diagnoses for this patient.
- Develop one SMART goal for each of the identified nursing diagnoses.
- Outline three evidence-based interventions for each nursing diagnosis that you would implement to achieve the SMART goals.
- Explain how you would evaluate the effectiveness of each intervention. -
QUESTION:
A 60-year-old female patient with a history of congestive heart failure (CHF) is admitted with complaints of shortness of breath and edema. Upon assessment, the nurse notes pitting edema in the lower extremities, lung crackles, and jugular vein distention. The healthcare provider orders an infusion of 0.9% normal saline at 75 mL/hour, and the nurse is to monitor the patient’s fluid balance closely. Over the next 24 hours, the patient’s total fluid intake is 2200 mL, and the total urine output is 1800 mL. Based on this information, calculate the patient’s fluid balance. Additionally, what clinical signs should the nurse monitor for that indicate worsening fluid overload? Provide the fluid balance in mL (enter numerical values only). -
QUESTION:
A 68-year-old patient with chronic kidney disease (CKD) and hypertension has been prescribed an IV infusion of furosemide. The order is for 3 mg/kg to be administered over 1 hour. The patient weighs 85 kg. The available concentration of furosemide is 10 mg/mL. Calculate the total volume of furosemide (in mL) that should be infused over 1 hour. Then, determine the appropriate IV infusion rate (in mL/hour) to ensure the medication is administered correctly. (Enter numerical values only. If rounding is required, round to the nearest tenth.)
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