[What nursing interventions are appropriate for Mrs. J. at the time of her admission?
Patient is admitted with decompensated heart failure, with signs and symptoms of pulmonary edema from the poor output of the heart, arrhythmias specifically atrial fibrillation with rapid ventricular response (RVR). The nurses interventions at the time of admission should be a full assessment, blood work to check for electrolyte imbalance, infection, and etc, EKG and continuous tele monitoring to assess if the atrial fibrillation converts to sinus (paroxismal) or if she remains in a-fib (chronic), patient must be started on oxygen via nasal cannula, and she must be started on the medications stat. After being started on Lasix, nursing interventions should include monitoring for intake and output, safety is another intervention since the patient’s BP is low and she is in a-fib, she may experience dizziness and fall, therefore BP must be monitored and safety measures placed for patient. Patient should be positioned in high fowler’s to help with the breathing.
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