Question

An elderly woman with COPD presents with peripheral edema. The patient is conscious but agitated. She is breathing with slight difficulty but has adequate tidal volume. During your assessment, you note that her jugular veins engorge when you apply pressure to her right upper abdominal quadrant. She tells you that she takes a “water pill” and Vasotec for high blood pressure. You should: Question 2Answer a. start an IV of normal saline and give her a 250-mL bolus. b. suspect acute right-sided heart failure and administer oxygen. c. expect to hear crackles when you auscultate her lungs. d. conclude that she has been noncompliant with her diuretic.

          An elderly woman with COPD presents with peripheral edema. The patient is conscious but agitated. She is breathing with slight difficulty but has adequate tidal volume. During your assessment, you note that her jugular veins engorge when you apply pressure to her right upper abdominal quadrant. She tells you that she takes a “water pill” and Vasotec for high blood pressure. You should:
Question 2Answer
a.
start an IV of normal saline and give her a 250-mL bolus.
b.
suspect acute right-sided heart failure and administer oxygen.
c.
expect to hear crackles when you auscultate her lungs.
d.
conclude that she has been noncompliant with her diuretic.

Added by Juan Carlos R.

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