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 A
Explanation
Choice A rationale
Guaifenesin is an expectorant that increases the output of respiratory tract fluid by reducing the adhesiveness and surface tension of the mucus, facilitating the removal of viscous mucus.
Choice B rationale
Dextromethorphan is a cough suppressant that works on the cough center in the brain to reduce the urge to cough. It does not enhance the output of respiratory tract fluid.
Choice C rationale
Acetylcysteine is a mucolytic that breaks down the chemical structure of mucus molecules, making the mucus less viscous, but it does not enhance the output of respiratory tract fluid by reducing adhesiveness.
Choice D rationale
Flunisolide is an inhaled corticosteroid used to reduce inflammation in the airways. It does not enhance the output of respiratory tract fluid.
Correct Answer is A
Explanation
Choice A rationale
True, because antitussive agents, which are cough suppressants, can potentially lead to dependence due to their central nervous system effects. This risk is particularly concerning for patients with a history of addiction.
Choice B rationale
False, is incorrect because the potential for addiction does warrant caution when prescribing antitussive agents to patients with a history of addiction. .
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