A nurse is caring for a client with a diagnosis of left-sided heart failure. The nurse expects what assessment findings associated with left-sided heart failure? (Select All that Apply.)

Ascites

Edema in the legs and feet

Crackles in the lungs

Confusion

Exertional dyspnea

Answer and Explanation

Correct Answer : C,D,E

A. Ascites is more commonly associated with right-sided heart failure. Right-sided failure leads to systemic congestion, causing fluid accumulation in the abdomen.
B. Edema in the legs and feet is a symptom of right-sided heart failure. Left-sided failure primarily affects the lungs, while right-sided failure leads to peripheral edema.
C. Crackles in the lungs are expected in left-sided heart failure. Pulmonary congestion results from blood backing up into the lungs, leading to fluid accumulation in the alveoli.
D. Confusion can occur due to decreased cardiac output and poor oxygenation to the brain. Clients with severe heart failure may experience cognitive changes or altered mental status.
E. Exertional dyspnea is a hallmark of left-sided heart failure. The inability of the left ventricle to pump effectively leads to pulmonary congestion, making breathing difficult during physical activity.

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Correct Answer is ["120"]

Explanation

 Convert pounds to kilograms:

176 pounds / 2.2 pounds/kg = 80 kg

 Calculate the enoxaparin dose:

80 kg 1.5 mg/kg = 120 mg

 Round to the nearest whole number:

120 mg

A. "I recommend you exercise daily and avoid smoking to decrease your risk." B. “Tell me more about these fears of dying from a heart attack." C. "Of course you aren't going to die, at least not in the immediate future." D. "Perhaps you should discuss this with your physician.”

Correct Answer is B

Explanation

A. Providing health recommendations is important, but the immediate concern is addressing the client's fear.
B. Encouraging the client to express emotions allows the nurse to assess and provide appropriate emotional support.
C. Dismissing the client's fears can make them feel unheard and may increase anxiety.
D. Referring the client to the physician too soon may shut down communication and miss an opportunity for emotional support.

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A nurse is caring for a client with a diagnosis of left-sided heart failure. The nurse expects what assessment findings associated with left-sided heart failure? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a pulmonary embolism and has a new order for enoxaparin 1.5 mg/kg/dose to be administered subcutaneously every 12 hours. The client weighs 176 pounds. How many mg should the nurse administer per dose? (Round to the nearest whole number)

Correct Answer is ["120"]

Explanation

A client who has coronary artery disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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A nurse is caring for a client with a diagnosis of left-sided heart failure. The nurse expects what assessment findings associated with left-sided heart failure? (Select All that Apply.)

Which statement indicates to the nurse the client diagnosed with sleep apnea needs further teaching?