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. Coffee has not been shown to significantly increase the risk of gout attacks and may even have a protective effect due to its antioxidant properties.

B. Alcohol, especially beer and spirits, can trigger gout attacks by increasing the level of uric acid in the blood. Alcohol consumption should be limited or avoided to reduce the risk of gout flare-ups.

C. Milk and other low-fat dairy products are actually recommended for people with gout, as they may help lower uric acid levels.

D. Orange juice, while high in vitamin C, does contain fructose, which can increase uric acid production. However, it is not as significant a trigger as alcohol. Moderation is key.

A. Inspect for the presence of clubbing. B. Perform a Romberg's test. C. Observe for the presence of Kernig's sign. D. Check the function of cranial nerve V.

Correct Answer is B

Explanation

A. Inspecting for the presence of clubbing is related to chronic respiratory or cardiac conditions, not ataxia.

B. Performing a Romberg's test evaluates balance and proprioception, which is important for assessing the ability to ambulate safely in a person with ataxia.

C. Observing for the presence of Kernig's sign is used to assess for meningeal irritation, not ataxia.

D. Checking the function of cranial nerve V is related to sensation and motor function of the jaw, not to assessing ambulation or balance.

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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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