A client with suspected congestive heart failure undergoes a chest X-ray. The nurse should anticipate which finding that may be indicative of CHF?
Narrowed mediastinum
Hyperinflated lungs
Cardiomegaly
Normal cardiac silhouette
The Correct Answer is C
A) This choice is incorrect because a narrowed mediastinum is not a characteristic finding in congestive heart failure. The mediastinum is the central region of the chest, and its width is not specifically related to CHF.
B) This choice is incorrect because hyperinflated lungs are a characteristic finding in chronic obstructive pulmonary disease (COPD), not congestive heart failure.
C) This choice is correct. Cardiomegaly, an enlarged heart, is a common finding in congestive heart failure. The heart may appear enlarged on a chest X-ray due to fluid accumulation and strain on the heart muscle.
D) This choice is incorrect because a normal cardiac silhouette on a chest X-ray would not be indicative of congestive heart failure. The presence of cardiomegaly is more suggestive of heart failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This choice is incorrect because ACE inhibitors should not be taken with grapefruit juice. Grapefruit juice can interfere with the metabolism of the medication, leading to increased levels and potential side effects.
B) This choice is incorrect because the client should not adjust the dose of the ACE inhibitor without consulting their healthcare provider. Blood pressure should be monitored, but any dosage adjustments should be made by the healthcare provider based on the client's response to the medication.
C) This choice is correct. ACE inhibitors can cause a side effect of a persistent dry cough, and in some cases, difficulty breathing. The client should promptly report these symptoms to their healthcare provider for evaluation and possible adjustment of the medication regimen.
D) This choice is incorrect because while ACE inhibitors can increase potassium levels, avoiding foods high in potassium is not necessary unless specifically directed by the healthcare provider. The client should follow a balanced diet and inform the healthcare provider of any changes in their dietary habits.
Correct Answer is D
Explanation
A) This choice is incorrect because consuming a diet high in sodium would exacerbate fluid retention in congestive heart failure. Clients with CHF should follow a low-sodium diet to reduce fluid overload and manage edema.
B) This choice is incorrect because limiting fluid intake to 1 liter per day is too restrictive and may lead to dehydration. Fluid restriction is essential for some clients with CHF, but the specific limit should be determined by the healthcare provider based on the client's individual needs.
C) This choice is incorrect because while potassium intake may need to be monitored, restricting potassium-rich foods is not a universal instruction for clients with CHF. It depends on the client's overall potassium levels and specific medication regimen.
D) This choice is correct. Following a low-sodium diet is essential for clients with congestive heart failure to reduce fluid retention and manage symptoms of fluid overload.
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