A nurse is assessing a client who has a new diagnosis of heart failure. Which of the following findings should the nurse expect?
Decreased jugular venous pressure
Weight loss
Dyspnea on exertion
Bradycardia
The Correct Answer is C
Choice A reason: Heart failure increases jugular venous pressure due to fluid overload and impaired cardiac output. Decreased pressure is not typical, making this incorrect for expected findings.
Choice B reason: Weight gain, not loss, is expected in heart failure due to fluid retention. Weight loss may occur in advanced stages, but it is not typical, making this incorrect.
Choice C reason: Dyspnea on exertion is a hallmark of heart failure, as reduced cardiac output limits oxygen delivery. Fluid in the lungs exacerbates shortness of breath, making this the correct finding.
Choice D reason: Bradycardia is not typical in heart failure, where tachycardia often compensates for low output. Heart rate abnormalities vary, but dyspnea is more consistent, making this incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Sleeping pills relax airway muscles, worsening apnea episodes in obstructive sleep apnea. This statement indicates misunderstanding, as sedatives exacerbate the condition, making it incorrect for reducing episodes.
Choice B reason: Avoiding back sleeping (supine position) may reduce episodes, as it minimizes airway collapse. While helpful, weight loss has a greater impact, making this less comprehensive than the correct choice.
Choice C reason: Losing 50 pounds reduces neck fat, decreasing airway obstruction in obstructive sleep apnea. Weight loss is a primary intervention, and this statement shows understanding, making it the correct choice.
Choice D reason: A humidifier improves comfort but does not address airway obstruction causing apnea. Weight loss directly reduces episodes, making humidifier use less effective and incorrect for this teaching.
Correct Answer is A
Explanation
Choice A reason: Serosanguineous drainage, a mix of serous fluid and blood, is expected 1 week post-abdominal surgery during the inflammatory and proliferative healing phases. It indicates normal wound healing, making this the correct interpretation.
Choice B reason: Infection typically causes purulent drainage (thick, yellow-green) with odor or fever, not serosanguineous drainage. The described drainage aligns with normal healing, making infection an incorrect assumption at this stage.
Choice C reason: Hemorrhage involves sanguineous drainage (bright red, heavy blood), not serosanguineous, which is lighter and mixed. The drainage described does not suggest active bleeding, making hemorrhage an incorrect interpretation.
Choice D reason: Serosanguineous drainage is normal and does not warrant immediate surgical intervention unless accompanied by signs like excessive bleeding or dehiscence. This drainage is expected, making surgical intervention unnecessary and incorrect.
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