Heart Failure Case

Which of the following would be included in the care of an infant in heart failure?
55. A child in the ED weighing 44 pounds is receiving a bolus of Ringer’s Lactate solution for fluid replacement at 20 ml/kg. How many ml should the nurse administer?
56. A graduate nurse (GN) tells the RN preceptor, “I need to insert a nasogastric tube, and though I was checked off on this procedure in my nursing school’s simulation lab, I have never inserted one on a real person.” How should the preceptor respond?

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57. A graduate nurse (GN) tells the RN preceptor, “I need to insert a nasogastric tube, and though I was checked off on this procedure in my nursing school’s simulation lab, I have never inserted one on a real person.” How should the preceptor respond?
58. A school nurse identifies that a child has pediculosis capitis and educates the child’s parents about the
condition. Which of the following statements by the parents indicates an understanding of the teaching?Heart Failure Case Essay

59. About mid-morning, a 10-year-old child reports to the school nurse complaining of nausea, dizziness, and chills. Further assessment reveals that this child is sweating profusely and has a blood glucose level of 57 mg/dl. Based on these assessment findings, which food is best for the nurse to encourage the child to eat?
60. The recommended dose of Dilantin for a child is 5 mg/kg/24 hours given every 12 hours (weight: 11 pounds). The medication is supplied in 250 mg/10 mL.

How many milliliters will be administered for each dose? _______ml/dose

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Report on Congestive Heart Failure

The heart is a muscle, the most important one in the body. It works like a pump; it receives blood from the body and pumps the blood into the lungs, where it receives oxygen. This oxygen rich blood is then pumped out in to the body system to nourish the body. Congestive heart failure occurs when this pumping action is impaired, and the heart cannot pump enough blood to meet the body’s needs. When the heart cannot pump out the blood it receives, excess fluid may back up into the lungs and other body tissues. Heart Failure Case Essay
After picking up oxygen, the blood travels back to the heart through the pulmonary veins into the left atrium, to the left ventricle and out to the body’s tissues through the aorta.” (Google, Health, 2010, pg. 1) “Some patients with heart failure have no symptoms. In these people, the symptoms may develop only with these conditions: • Abnormal heart rhythm (arrhythmias) • Anemia • Hyperthyroidism • Infections with high fever • Kidney disease (Google Health, 2010, pg.1) Risk factors for congestive heart failure include advancing age, as heart failure is the most common reason for hospitalization in the elderly, and as the population ages, the incidence of heart failure is rising dramatically. The positive aspect of this is that people with congestive heart failure are living longer. Sex or gender is another risk factor, as men are at higher risk for heart failure than women. African American’s are at higher risk for heart failure than Caucasians. Genetics and family history of early heart failure Caused by cadiomyopathies (diseases that damage the heart muscle), may predispose people to this disease. Chronic alcohol abuse can damage the heart muscles, can cause hypertension, and may cause cardiomyopathy. Moderate alcohol consumption, on the other hand, may protect people from heart failure. Heart Failure Case