You are the nurse manager of a 15-bed step-down unit

Student Name: Lakeshice R Week 8 Case Study A 74-year-old woman is admitted to the hospital with heart failure. She had been growing progressively weaker and had ankle edema, dyspnea on exertion, and three-pillow orthopne admission, she is severely dyspneic and can answer questions only with one-word response is diaphoretic, with a heart rate of 132 beats/min, and blood pressure 98/70 mm Hg. She is extremely anxious. 1. Because this patient cannot breathe or talk easily, prioritize the immediate nursing assessments on admission. 2. Considering the process of heart failure, explain the symptoms she is having. 3. Based on assessment, identify the priority problems for this patient. The physician orders a treatment plan for this patient: Start an IV, then administer furosemide (Lasix) 40 mg IV stat; digoxin 0.5 mg orally stat, th 0.125 every 6 hours for three doses, with ECG before doses 3 and 4; morphine 2 mg IV sta then 2 mg IV every 1 to 2 hours PRN; oxygen 4 L/min per nasal cannula; schedule for an echocardiogram; obtain a CBC, BMP, and BNP levels; no added salt diet; weigh daily and monitor input and output. 4. Explain the rationale for these medications and treatments. . Furosemide: . Digoxin:

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