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rest ids as ordre,
Monto fui stats,
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“ooument he reponse.
Incraazod excretion of lectoes
Weigh ay atthe same ime ard
witht sare cling.
Monitors veal cent stats,
Measure an document tl sine gh unt
shariness of breath ($08) subsces, en qh.
Hour assessment ausutat fr thed
K reset
Me. ll 2 68-year-old widower, was taken
{othe emergency depariment by his
granddaughter and sates, lean’ breathe”
He has ahstory of hypertension and heart disease.
He is obese. The practioner ordered a stat
‘chest xray, CBC, electrolytes.
Your susessment
‘ala include
ASSESSMENT DATA
Shortness of breath, tes
Constant cough
38.47, 188/48; 98; 30 and
Tabored
Engorged neck veins
Pulmonary congestion (xray)
Decreases Het and Hgb
Assessment data clues
indeate
\
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outcomes.
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ay 160 measurements inccatve
‘othudbaanee,
heart sound breath sounds; asses ate, yeh, Successul Ct identi need tose 301
depth ofrespiraonsardte postion he JX implementation coverthe nex mori.
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Monitor lent respons o therapy and dees,
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Inspect and palpate areas of edema.
Determines whether edema oealzed or
‘gonerazed and revel von.
Insitute provetve sn measures: lvl
‘rarities on lions to decrease pressure and
‘romele venous cevaon: aed rating Ie
ski, apply lato, pat dy avid sap on the are:
Tnepetorednezeorbanening
Maintains kin integrity, promotes cession, and
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decreased carcac ouput dias; he
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"ood ow in sodium as, and caches.
Eaucating cient about causes, agarvaing
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uid excess he et top
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Hel Hgb, BP 15882;
‘he absence of 808,
abnormal breath sounds,
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imac ‘Thocnts tin tegty as maintained.
“Th cent was unbl to verbalzekrowedge
of ow his weigh high-sodum dt. fare
Toiake his hear medeations, and croic
taratins cause th i exces,
‘Was toed home hea or Set eacing
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