A client with congestive heart failure presents with a dry, persistent cough. The nurse should recognize this symptom as:

Hemoptysis

Dyspnea

Paroxysmal nocturnal dyspnea

Cardiac asthma

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because hemoptysis refers to coughing up blood from the respiratory tract, which is not described by the client.

B) This choice is incorrect because dyspnea refers to difficulty breathing or shortness of breath, not a dry, persistent cough.

C) This choice is incorrect because paroxysmal nocturnal dyspnea is characterized by sudden breathlessness that awakens the client from sleep, not a dry cough.

D) This choice is correct. Cardiac asthma is a form of wheezing or coughing that occurs as a result of fluid accumulation in the lungs due to congestive heart failure. It is not caused by asthma but is a manifestation of heart failure impacting the respiratory system.

Questions

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Correct Answer is B

Explanation

A) This choice is incorrect because a high-pitched, scratchy sound heard during inhalation is called a pleural friction rub and is associated with pleuritis or inflammation of the pleura, not congestive heart failure.

B) This choice is correct. An S3 heart sound is an extra heart sound heard immediately after S1 and S2, often described as a "ventricular gallop." It is associated with congestive heart failure and indicates increased fluid volume and strain on the ventricles.

C) This choice is incorrect because a prolonged, whooshing sound heard during systole is a heart murmur, which can be caused by various conditions, but it is not specific to the presence of an S3 sound.

D) This choice is incorrect because an irregular heart rhythm with varying intensity is characteristic of cardiac arrhythmias or irregular heartbeats and is not specific to the presence of an S3 sound.

A. Body mass index (BMI) of 22 kg/m² B. Blood pressure of 120/80 mmHg C. Fasting blood glucose level of 90 mg/dL D. Serum cholesterol level of 240 mg/dL

Correct Answer is D

Explanation

A) This choice is incorrect because a body mass index (BMI) of 22 kg/m² is within the normal range and is not directly associated with the development of congestive heart failure in this scenario.

B) This choice is incorrect because a blood pressure of 120/80 mmHg is within the normal range and does not indicate a direct precipitating factor for congestive heart failure in this case.

C) This choice is incorrect because a fasting blood glucose level of 90 mg/dL is within the normal range and is not directly associated with the development of congestive heart failure in this scenario.

D) This choice is correct. A serum cholesterol level of 240 mg/dL indicates high cholesterol, which is a risk factor for coronary artery disease. Coronary artery disease is a leading cause of congestive heart failure and may have contributed to the client's condition.

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A client with congestive heart failure presents with a dry, persistent cough. The nurse should recognize this symptom as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is auscultating a client's heart sounds and hears a third heart sound (S3). Which finding is consistent with the presence of an S3 sound in a client with congestive heart failure?

Correct Answer is B

Explanation

A nurse is caring for a client with congestive heart failure. Which assessment finding may indicate a potential precipitating factor for the client's condition?

Correct Answer is D

Explanation

A nurse is caring for a client with suspected congestive heart failure. Which blood test is specifically used to measure heart strain and assist in the diagnosis of CHF?

A client with congestive heart failure complains of feeling fatigued and weak after mild physical activity, such as getting dressed or walking short distances. The nurse should identify this symptom as:

A client with suspected congestive heart failure undergoes an echocardiogram. The nurse should expect which parameter to be measured during the echocardiogram to assess the client's heart function?

A client with congestive heart failure is prescribed digoxin. The nurse should instruct the client to:

A client with congestive heart failure is prescribed spironolactone, a potassium-sparing diuretic. The nurse should instruct the client to:

A client with congestive heart failure is prescribed a nitrate medication. The nurse should instruct the client to:

A client with congestive heart failure presents with swollen ankles, legs, and abdomen. The nurse should document these findings as:

A nurse is caring for a client with congestive heart failure who is prescribed a beta-blocker. The nurse should instruct the client to: