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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Instruct the client to avoid movement of the affected leg is not practical for postoperative care; the goal is to manage movement safely, not completely avoid it.
B. Position the lower extremities so that they are touching is incorrect; the legs should be kept in abduction to prevent dislocation.
C. Prevent hip flexion of the affected extremity is essential to prevent dislocation of the hip joint. Keeping the hip in a neutral or slightly extended position helps achieve this.
D. Ensure that the client's heels are touching the bed is not a relevant intervention for preventing complications after a hip arthroplasty.
Correct Answer is ["A","C","D"]
Explanation
A. Hematuria is commonly expected following an ileal conduit procedure due to the surgical intervention in the urinary tract.
B. Mucus in the urine is a normal finding after an ileal conduit procedure because the ileum secretes mucus naturally; it does not require immediate notification of the provider unless there are other concerning symptoms.
C. Monitoring hourly urine output is crucial to ensure the patency of the urinary system and to detect any early signs of complications such as obstruction or leakage.
D. Applying a skin barrier around the stoma site is essential to protect the skin from the corrosive effects of urine and to prevent skin breakdown.
E. Fluid restriction is not typically required unless specifically indicated by the provider for other medical reasons; maintaining adequate hydration is important for the client's recovery and to ensure proper urine production.
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