1.)A. My patient teachings would be to explain to how to check their pulse accurately to avoid toxicity while using the Digoxin and Lasix as prescribed by the doctor for the heart failure. http://www.nlm.nih.gov/medlineplus/ency/article/000165.htm I would teach the client to monitor their renal function and electrolytes such as potassium. I will discuss and teach the patient about the possible side effects of his heart failure that should prompt the patient to notify me, or his physician such as anorexia, nausea, vomiting, blurred vision, increased heart (tachycardia) and slow heart rate (bradycardia). (AuthorKaplan Nursing The basics book, pg. 120) I will then instruct the patient to eat high potassium foods such as white beans, dark leafy greens, bananas, mushrooms and salmon . http://www.healthaliciousness.com/articles/food-sources-of-potassium.php
2.)A. The patient who is unconscious has decreased mobility so the signs and symptoms could be constipation, blood clots, skin ulcers, muscle wasting, anxiety, edema and reconditioning. https://www.itriagehealth.com/#!/conditions/immobility-lack-of-movement-380 .The patient who has the history of alcoholism could be constipated, dehydrated because of electrolyte imbalances and inability to have effective therapy.
3.)A. The physical signs I would anticipate to see because of the patient’s cigarette smoking history relating to the skin would be wrinkles, dry, greyish, and wasted in appearance. Halitosis (bad breath) and stained teeth and gums are perhaps the best known and most obvious effects of smoking. Tobacco use increases the risk of periodontitis, which results in swollen gums, bad breath and may cause tooth decayeeth to fall out. http://ash.org.uk/files/documents/ASH_115.pdf
B.) Cigarette smoking can create aAcidosis. Smoking decreases the body's ability to absorb minerals and other nutrients, decreases the energy production in the cells, decreases its ability to repair damaged cells, decreases its ability to detoxify heavy metals, allows tumor cells to thrive and creates