A nurse is assessing a client who has right ventricular failure. Which of the following findings should the nurse expect?

Dizziness

Crackles in the lungs

Dry, hacking cough

Hepatomegaly

Answer and Explanation

The Correct Answer is D

A. Dizziness is not a primary finding of right ventricular failure but may be associated with other conditions.

B. Crackles in the lungs are more associated with left ventricular failure.

C. Dry, hacking cough is not a primary symptom of right ventricular failure but may be seen in left-sided heart failure.

D. Hepatomegaly is a common finding in right ventricular failure due to increased pressure in the venous system.

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Correct Answer is B

Explanation

A. The client cannot travel by air due to security screening is incorrect; clients with ICDs can travel by air but should inform security personnel about the ICD.

B. The client should hold his cell phone on the side opposite the ICD to avoid interference with the ICD’s functioning.

C. The client can carry his ICD in a small pocket is incorrect; the ICD is implanted and does not need to be carried.

D. The client should avoid the use of small electric devices is not entirely accurate; the client should follow specific guidelines but not avoid all small devices.

A. Increase hematocrit B. Increased respiratory rate C. Increased blood pressure D. Increased temperature E. Increased heart rate

Correct Answer is ["B","C","E"]

Explanation

A. Increase in hematocrit is not expected in fluid overload; it generally decreases due to dilution of blood components.

B. Increased respiratory rate can occur as the body tries to compensate for fluid overload, which may affect lung function and cause respiratory distress.

C. Increased blood pressure is a common finding in fluid overload due to increased blood volume in the circulatory system.

D. Increased temperature is not a typical finding in fluid overload; it might be associated with infection or inflammation instead.

E. Increased heart rate can occur as the body compensates for increased blood volume and higher blood pressure.

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A nurse is assessing a client who has right ventricular failure. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is ["B","C","E"]

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