A nurse is assessing a client with suspected congestive heart failure. Which symptom is the classic hallmark of left-sided heart failure?

Ascites

Dependent edema

Crackles in the lungs

Jugular vein distention

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because ascites (abdominal swelling due to fluid accumulation) is a sign of right-sided heart failure, not left-sided heart failure.

B) This choice is incorrect because dependent edema (swelling in the legs and ankles) is also a sign of right-sided heart failure, not left-sided heart failure.

C) This choice is correct. Crackles in the lungs, also known as rales, are the classic hallmark of left-sided heart failure. They occur when fluid accumulates in the lungs, leading to abnormal lung sounds on auscultation.

D) This choice is incorrect because jugular vein distention is associated with right-sided heart failure, not left-sided heart failure.

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Correct Answer is C

Explanation

A) This choice is incorrect because age is a non-modifiable risk factor for congestive heart failure. While age increases the risk of heart disease, including CHF, it cannot be changed or modified.

B) This choice is incorrect because family history of heart disease is a non-modifiable risk factor. While individuals with a family history of heart disease may have an increased risk of developing CHF, it is not something that can be changed or modified.

C) This choice is correct. Smoking is a modifiable risk factor for congestive heart failure. Smoking damages blood vessels, increases blood pressure, and can lead to atherosclerosis, all of which contribute to heart failure.

D) This choice is incorrect because gender is a non-modifiable risk factor for congestive heart failure. While men may have a slightly higher risk of heart failure compared to women, gender is not something that can be changed or modified.

A. Hypokalemia B. Hypotension C. Bradycardia D. Hyperglycemia

Correct Answer is C

Explanation

A) This choice is incorrect because hypokalemia (low potassium levels) is more commonly associated with loop diuretics rather than beta-blockers.

B) This choice is incorrect because while hypotension (low blood pressure) can be a potential adverse effect of beta-blockers, it is not the primary adverse effect to be monitored for.

C) This choice is correct. Bradycardia (slow heart rate) is a common adverse effect of beta-blockers, which work by slowing the heart rate and reducing the force of the heart's contractions. The nurse should monitor the client's heart rate and report any significant changes or symptoms of bradycardia to the healthcare provider.

D) This choice is incorrect because hyperglycemia (high blood glucose levels) is not a common adverse effect of beta-blockers. In fact, beta-blockers can sometimes cause transient hypoglycemia.

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A nurse is assessing a client with suspected congestive heart failure. Which symptom is the classic hallmark of left-sided heart failure?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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