[Answered]: Nurses’ Notes “M Day 1, 0800: The client presents to…

Nurses’ Notes “M Day 1, 0800: The client presents to the emergency department (ED) with shortness of breath. The client states over the last few days their feet and lower legs have become increasingly swollen. Auscultated Si. $2 with no murmur detected. Prescence of jugular vein distention is noted. Lung sounds have bilateral crackles in posterior bases. +2 pedal edema bilaterally in the lower extremities. The client reports a history of CHF and hypertension. Current Medications: Carvedilol 6.25 mg PO BID. lisinopril 20mg PO daily, furosemide 40 mg PO daily 1200: % The client is admitted to the medical-surgical unit for heart failure exacerbation. Day 2. 1200: Auscultated S1. 52 with irregular rhythm with no murmur detected. Lung sounds are diminished bilaterally with occasional crackles. Mucus membranes are pink. +1 pedal edema bilaterally. The client states dizziness when standing and muscle cramping in the legs. Positive Chvostek sign is noted. Prescence of hyperactive deep tendon reflexes is noted.Vital Sigfi Day 1. 0800: Temperature 37.2deg C (989deg F) Blood pressure 179/92 mm Hg Heart rate 94/min Respiratory rate 22/min Oxygen saturation 94% on room air Day 2. 1200: Temperature 36.7deg C (981deg F) Blood pressure 146/72 mm Hg Heart rate 116/min i} Respiratory rate 18/min Oxygen saturation 98% on room airD_iagnostic Results Day1,0800: Magnesium 1.9 mEq/L (1.3 to 2.1 mEq/L) Sodium 142 mEq/L (136 to 145 mEq/L) Potassium 4.2 mEq/L (3.5 to 5 mEq/L) BUN 18 mg/dL (10 to 20 mg/dL) Creatinine 0.7 mg/dL (0.5 to 1 mg/dL) Day 2. 0800: i} Magnesium 1.1 mEq/L(1.3 to 2.1 mEq/L) Sodium 148 mEq/L (136 to 145 mEq/L) Potassium 3.2 mEq/L (3.5 to 5 mEq/L) BUN 24 mg/dL (10 to 20 mg/dL) Creatinine 1.6 mg/dL (0.5 to 1 mg/dL)e Medication Administration Record Day 1, 0800: Furosemide 80 mg IV TID Docusate 100 mg PO TID PRN constipation