A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect?

Tachycardia

Weight gain

Decreased thirst

Thready pulse

Answer and Explanation

The Correct Answer is B

A.   While tachycardia can occur in some cases of heart failure as a compensatory mechanism, it's not a universal manifestation.
B.   In heart failure, weight gain is a common manifestation due to fluid retention caused by the heart's inability to pump blood effectively. This fluid buildup can lead to an increase in body weight, often evidenced by swelling in the legs, ankles, or abdomen.
C.   Heart failure often leads to increased thirst due to fluid overload and decreased cardiac output, resulting in poor tissue perfusion.
D.   A thready pulse may be present in heart failure due to decreased stroke volume, but it's not a primary manifestation typically associated with the condition.

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Correct Answer is A

Explanation

A. Keeping the hand elevated above the heart is necessary after carpal tunnel surgery since it minimizes pain and swelling.
B. Heat application is not recommended immediately after carpal tunnel surgery, as it may increase swelling and discomfort.
C. Resting the affected hand allows for proper healing and reduces the risk of complications after carpal tunnel surgery. However, complete non-use for 4-6 weeks is a long period.
D. Numbness and tingling in the hand may be expected immediately after surgery due to residual effects of anesthesia, but it is not a long-term expectation.

A. Administer sedation for the procedure. B. Schedule an MRI postprocedure to verify placement. C. Use gauze to secure an arm board to the involved extremity. D. Measure the arm circumference above the insertion site daily

Correct Answer is D

Explanation

A: Sedation is not typically required for PICC line insertion; local anesthesia is usually sufficient.
B: An MRI is not the standard method to verify PICC line placement; an x-ray is typically used.
C: Using gauze to secure an arm board can restrict circulation and is not recommended for securing a PICC line.
D: Measuring the arm circumference daily is important to monitor for complications such as swelling or phlebitis at the insertion site.

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A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Explanation

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