A client with a congenital heart disease is experiencing cyanosis and clubbing of the fingers. The nurse should recognize these symptoms as signs of:
Left-sided heart failure.
Right-sided heart failure.
Pulmonary hypertension.
Peripheral vascular disease.
The Correct Answer is C
A) Incorrect. Left-sided heart failure typically presents with symptoms such as pulmonary congestion, shortness of breath, and crackles in the lungs, rather than cyanosis and clubbing.
B) Incorrect. Right-sided heart failure can cause peripheral edema and jugular vein distention, but it does not usually lead to cyanosis and clubbing.
C) The answer is C. Cyanosis and clubbing of the fingers are signs of chronic hypoxia, which can occur in pulmonary hypertension. This condition increases pulmonary vascular resistance and impairs oxygenation, leading to these characteristic symptoms.
D) Incorrect. Peripheral vascular disease primarily affects the arteries and veins in the extremities and is not directly related to cyanosis and clubbing of the fingers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect. While diagnostic testing may provide information that informs the choice of a surgical procedure, this is not the primary purpose of the tests.
B) Incorrect. While diagnostic testing may identify complications related to the heart disease, it is not the primary purpose of the tests.
C) The answer is C. Diagnostic testing in congenital heart diseases aims to evaluate heart function, blood flow patterns, and any structural abnormalities. These results guide the healthcare team in developing a comprehensive treatment plan for the client.
D) Incorrect. Most congenital heart diseases cannot be "cured" with diagnostic testing alone. However, the information obtained from the tests is crucial in determining the most appropriate management and treatment options.
Questions
Correct Answer is D
Explanation
A) Incorrect. Taking an over-the-counter pain reliever may not address the underlying cause of the symptoms and is not the appropriate action in this situation.
B) Incorrect. Deep breathing exercises may not alleviate the symptoms of shortness of breath and chest pain. The client should seek medical attention for proper evaluation and management.
C) Incorrect. While resting quietly is generally advisable, it may not be sufficient to address the client's symptoms. Seeking medical attention is essential to identify and manage the cause of the symptoms.
D) The answer is D. Shortness of breath and chest pain can be signs of a cardiac event or worsening of the congenital heart disease. The client should seek medical attention immediately to receive appropriate evaluation and treatment.
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