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. Instructing the client on the use of crutches is important but not as immediately critical as monitoring for complications.

B. Performing neurovascular checks of the extremities is the most important action to detect complications such as compartment syndrome or impaired circulation.

C. Medicating the client for pain is important but secondary to immediate assessment for complications.

D. Directing the client to perform exercises of the ankle and toes is important for recovery but not as urgent as monitoring for postoperative complications.

A. Learn to control impulsive behavior. B. Establish the ability to communicate effectively. C. Compensate for loss of depth perception. D. Improve left-side motor function.

Correct Answer is B

Explanation

A. Learning to control impulsive behavior is more relevant for a right hemispheric CVA, which affects impulse control and judgment.

B. Establishing the ability to communicate effectively is crucial for a left hemispheric CVA, which often affects language and speech functions.

C. Compensating for loss of depth perception is related to right hemispheric CVA, which affects spatial awareness and perception.

D. Improving left-side motor function is important but secondary to addressing communication issues in a left hemispheric CVA where language deficits are a priority.

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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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