Exam (elaborations)
NR-452 Capstone Course SIM1_CAPSTONE.
- Course
- NR-452 Capstone Course
- Institution
- Chamberlain College Nursing
NR-452 Capstone Course
[Show more]
Content preview
1.What key priority assessment findings are usually seen in left-sided heart failure?How dothese findings differ from right-sided heart failure?
A priority assessment with left sided heart failure is respiratory. The left ventricle doesn’t pump
efficiently causing the buildup of fluid around the lungs. This causes shortness of
breath,persistent cough, dizziness, fatigue, rapid pulse, frothy mucus, etc. Right sided heart
failure causes edema in arms and legs, JVD, nausea and loss of appetite.
2.Identify two common medication classes used to treat left-sided heart failure. What are
two nursing considerations for each identified classification of medication?
Diuretics (lasix) and ACE inhibitors. For diuretics electrolytes need to be monitored and also
I/O’s need to be measured. Assess fluid status throughout therapy. Monitor daily weight, amount
and location of edema, lung sounds, skin turgor, and mucous membranes.For ACE inhibitors
watch for hyperkalemia and give certain ones an hour before meals. Give potassium supplements
and potassium-sparing diuretics cautiously because ACE inhibitors can cause potassium retention
and hyperkalemia. Warn the patient to avoid potassium-containing salt substitutes. Give captopril
and moexipril 1 hour before meals. Advise your patient that therapy may cause a dry, persistent
cough.
3.How do cultural differences impact nurses in teaching diet and nutrition? What is
cultural humility?
Food preferences and the way they are prepared are often culturally influenced. Certain food
groups serve as staples of the diet based on culture and remain so even when members of that
culture are living in a different country.Patients in a hospital or long-term care setting often are
not given much choice of foods. People with cultural food preferences may not be able to select
appealing foods and may be at risk for inadequate nutrition. When assessing the possible causes
of a patient's decreased appetite, try to determine whether the problem may be related to culture.
It may be possible for family or friends to bring in foods that satisfy the patient's nutritional
needs while still meeting dietary restrictions. Dietary teaching must be individualized according
to cultural values about the social significance and sharing of food.Cultural humility is a process
of self-reflection and discovery in order to build honest and trustworthy relationships. It offers
promise for researchers to understand and eliminate health disparities, a continual and disturbing
problem necessitating attention and action on many levels.
4.What are two nursing considerations in prioritizing and deciding placement location of a
peripheral IV in heart failure?
A peripheral IV catheter is used for long-term intravenous access. Two considerations in
prioritizing and deciding placement and location of the peripheral IV catheter are it is inserted in
This study source was downloaded by 100000880779952 from CourseHero.com on 09-10-2024 17:48:18 GMT -05:00
https://www.coursehero.com/file/51345785/SIM1-CAPSTONE/
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller YourAssignmentHandlers. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now