Question

The home health practical nurse (PN) is making a visit to a client with end-stage heart disease. The client has a living will and desires to not go past the hospital. The PN observes that the client is short of breath while speaking, pale in color, and identifies bilateral pulmonary crackles and 3+ pitting edema in both ankles. Which intervention should the PN implement first? A) Position the feet above the level of the heart B) Obtain a peripheral oxygen saturation level C) Apply 2L of oxygen via nasal cannula. D) Explain the need for hospitalization

          The home health practical nurse (PN) is making a visit to a client with end-stage heart disease. The client has a living will and desires to not go past the hospital. The PN observes that the client is short of breath while speaking, pale in color, and identifies bilateral pulmonary crackles and 3+ pitting edema in both ankles. Which intervention should the PN implement first?
A) Position the feet above the level of the heart
B) Obtain a peripheral oxygen saturation level
C) Apply 2L of oxygen via nasal cannula.
D) Explain the need for hospitalization

Added by Jennifer J.

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