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The nurse in a long-term care facility is caring for a client with diagnoses of hypertension and heart failure. Nurse's Notes Vital Signs 0600: Client in bed, alert, and oriented. Client reports difficulty sleeping lately because of irritating cough and states, still feel tired upon awakening.Skin warm and dry . Lungs clear throughout. Dry, non -productive cough present. Respirations non- labored. Heart rate irregular. Abdomen soft, nontender. Pulses present in all extremities. No edema noted. 0800: Client ambulates to bathroom with assist of one. Client is short of breath with activity and requires frequent rest stops . Non-productive cough continues. Client takes prescribed medications of benazepril, metoprolol, amlodipine , chlorthalidone , and aspirin. Vital signs taken The nurse reviews the notes and vital signs. Complete the diagram by dragging from the choices below to specify the client's potential condition, 2 actions the nurse takes to address the symptoms, and 2 parameters the nurse monitors to assess the client's progress. Actions to Take Potential Condition Parameters to Monitor Instruct client to increase fluid intake. Discuss changing medication with physician. Request order for STAT potassium level . Monitor for bronchospasms . Adverse effects of benazepril . Expected effects of metoprolol.
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