A 54-year-old man has a myocardial infarction, resulting in left-sided heart failure.
The nurse caring for the man is most concerned that he will develop edema in what area of the body.
Peripheral.
Pulmonary.
Liver.
Abdominal.
The Correct Answer is B
Choice A rationale
Peripheral edema is more commonly associated with right-sided heart failure rather than left-sided. This is because right-sided heart failure leads to systemic venous congestion, causing fluid to accumulate in the peripheral tissues, particularly in the legs and ankles.
Choice B rationale
Pulmonary edema is a major concern in left-sided heart failure due to the inability of the left ventricle to effectively pump blood out to the systemic circulation. This results in blood backing up into the pulmonary veins, leading to fluid accumulation in the lungs.
Choice C rationale
Liver edema, or hepatomegaly, is more typically seen in right-sided heart failure, where the failure of the right ventricle causes blood to back up into the systemic circulation, affecting the liver and other organs.
Choice D rationale
Abdominal edema, or ascites, is also more associated with right-sided heart failure. This condition occurs due to increased pressure in the veins and capillaries, leading to fluid leakage into the abdominal cavity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Checking vitamin K levels doesn't directly monitor warfarin's effect.
Choice B rationale
PTT and aPTT assess heparin, not warfarin.
Choice C rationale
INR specifically measures warfarin's effectiveness and safety.
Choice D rationale
Platelet levels don't monitor the anticoagulant effect of warfarin.
Correct Answer is D
Explanation
Choice A rationale
While nicotine use is a health concern, it does not directly relate to the safety of atorvastatin (Lipitor). However, smoking cessation is advisable for overall cardiovascular health.
Choice B rationale
Caffeine intake is not a primary concern related to the safety of atorvastatin. Monitoring other lifestyle factors like diet and exercise is more relevant.
Choice C rationale
Herbal therapy may interact with atorvastatin, but the primary safety concern is alcohol intake, which can increase the risk of liver damage when combined with atorvastatin.
Choice D rationale
Alcohol consumption is a significant concern when taking atorvastatin, as it can increase the risk of liver damage. Patients are advised to limit alcohol intake to prevent adverse effects. .
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