A nurse is caring for a client who has left-sided heart failure. Which of the following manifestations should the nurse expect?
Pedal edema
Neck vein distention
Daytime oliguria
Enlarged liver
The Correct Answer is C
C. Oliguria can occur in severe cases of left-sided heart failure. When the heart's ability to pump blood forward is compromised, blood flow to the kidneys decreases, leading to decreased urine production.
A. Pedal edema is more commonly associated with right-sided heart failure.
B. Neck vein distention is typically associated with right-sided heart failure where increased pressure in the right side of the heart leads to jugular venous distention
D. Enlarged liver, or hepatomegaly, can occur in right-sided heart failure due to congestion and backup of blood in the hepatic circulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
Rationale
The frequency and amount of urination indicates that the body in able to utilize glucose reducing glucosuria and osmotic diuresis.
The ability to tolerate oral intake also indicates an improvement in the client’s general health
Improvement in perception of pedal pulses indicates an improvement in the hydration status of the client.
A normal pulse rate and blood pressure is an indicator of optimal hydration status- an improvement from the severely dehydrated state.
The blood glucose levels is dropping indicating an improvement in the glycemic control
Correct Answer is {"A":{"answers":"C"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"C"}}
Explanation
Alterations in level of consciousness is an indicator that the client is in septic shock due to systemic spread of the urinary tract infection
Hematocrit level is normal. Changes in hematocrit levels are not expected in UTI unless the client has hematuria.
A butterfly rash is commonly seen in autoimmune conditions like lupus.
The decrease in oxygen requirements indicates improvement in level of distress and hence improving sepsis
A drop in the systolic blood pressure may indicate that the client is going into septic shock
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