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

Clubbing

Peripheral edema

Pitting edema

Ascites

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because clubbing refers to the enlargement of the fingertips and nails due to chronic hypoxia, which is not related to the client's reported symptoms.

B) This choice is correct. Peripheral edema refers to swelling in the legs, ankles, and feet, which is a common symptom of congestive heart failure. The client's symptoms of swollen ankles, legs, and abdomen indicate peripheral edema.

C) This choice is incorrect because pitting edema is a specific type of edema where pressure on the skin leaves an indentation or "pit." While the client's edema may indeed be pitting, the question does not provide enough information to confirm this.

D) This choice is incorrect because ascites is the accumulation of fluid in the abdominal cavity and is not specific to the client's reported symptoms of swollen ankles and legs.

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Correct Answer is D

Explanation

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

A. Electrocardiogram (ECG) B. Chest X-ray C. Echocardiogram D. Brain natriuretic peptide (BNP) level

Correct Answer is C

Explanation

A) This choice is incorrect because an electrocardiogram (ECG) is a valuable diagnostic tool for assessing the heart's electrical activity and rhythm, but it is not the gold standard for diagnosing CHF. It can provide information about possible cardiac hypertrophy or rhythm disturbances associated with heart failure.

B) This choice is incorrect because a chest X-ray is helpful in evaluating heart size and the presence of pulmonary congestion, but it is not the gold standard for diagnosing CHF.

C) This choice is correct. An echocardiogram is the gold standard for diagnosing CHF. It uses ultrasound waves to assess the heart's structure and function, including ejection fraction and valve function, providing critical information to confirm the diagnosis of heart failure.

D) This choice is incorrect because a brain natriuretic peptide (BNP) level is a blood test that can aid in the diagnosis of CHF. Elevated BNP levels indicate heart strain, but it is not the gold standard for diagnosing CHF.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

A nurse is reviewing the diagnostic tests for a client suspected of having congestive heart failure. Which test is considered the gold standard for diagnosing CHF?

Correct Answer is C

Explanation

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?

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A nurse is assessing a client with suspected congestive heart failure. Which symptom is the classic hallmark of left-sided heart failure?

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