• how long it has been occurring
• if it gets worse at a particular point in the day
•Do you get chest pain, palpitations or ankle swelling?
•Does it come on or get worse when you lie flat?
•Does anything bring it on? For example, pollen, pets or medication?
•Do you smoke?
•Do you also have a cough, or bring up phlegm?
•How active are you usually?
•What’s your job or occupation?
•Is your breathlessness related to certain times at work?
•Do you have a history of heart, lung or thyroid disease or of anaemia?
•Have you made any changes in your life because of your shortness of breath?
•Do you feel worried or frightened, depressed or hopeless?
•What have you done to help you cope with the way you’re feeling?
•Does it come and go or is it there all the time?
•Is there any pattern to your breathlessness?
The nursing intervention that should be a priority when an older adult client gets diagnosed with end-stage renal disease (ESRD) and has fluid volume excess is: assessing the client's lung sounds.
ESRD is a chronic kidney disease resulting in kidney failure. This is a gradual loss of the functioning of kidney that cannot be restored. The only solution to this disease is long-term dialysis on a regular basis or kidney transplant.
Lung sounds are of different types depending upon the condition of a person lungs. Listening to this sound, also called auscultation is necessary to assess the right medical condition. The sounds related to fluid overload in lungs are grunting, gurgling, or wheezing.
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Adults—0.1 milligram (mg) two times a day, taken in the morning and at bedtime. Your doctor may adjust your dose as needed. The usual dose is 0.2 mg to 0.6 mg per day, divided and given two times a day.
Answer:
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