During a visit to the home of a patient with heart failure and diabetes the nurse learns that the patient "feels strange." Data collected includes blood pressure 172/94 mm Hg,pulse 112 beats/min,respirations 22/min; heart rhythm regular; coarse crackles in lower lung bases.What action should the nurse take?

Question

Quizplus · Accepted Answer

The RN or supervisor should be consulted immediately so that the patient's symptoms of heart failure which could progress to pulmonary edema can be treated.The physician will then be contacted for treatment orders.B.There is no evidence that orange juice is needed.C.D.There is no evidence that the patient is fatigued and waiting to reassess vital signs in 30 minutes could be dangerous for the patient.

During a Visit to the Home of a Patient with Heart