Linda, a home care nurse, calls you, as she has four phone calls to answer. She asks you which patient’s phone call she should respond to first. You would suggest:
  1. A patient who received chemotherapy yesterday and is reporting nausea and vomiting
  2. A patient who was discharged two days ago with a urinary catheter after a transurethral prostactemomy and is reporting pink-tinged urine
  3. A patient with schizophrenia who says that the police have surrounded the house
  4. The wife of a patient with chronic heart disease who reports her husband is coughing frothy, white secretions and became confused during the night
Explanation
Answer - D - You would suggest she respond to the wife of a patient with chronic heart disease who reports her husband is coughing frothy, white secretions and became confused during the night. The situation indicates development of pulmonary edema in the patient with chronic heart disease. This serious complication is a priority.
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