A nurse is caring for a patient with long history of chronic obstructive pulmonary disease (COPD) who develops cor pulmonale.
The nurse should monitor the patient for which expected finding if heart failure is present?

Hypertension.

Peripheral edema.

Increased respiratory rate.

Cough with pink-tinged sputum.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Hypertension is not typically a sign of heart failure related to cor pulmonale. It is more associated with systemic issues rather than pulmonary complications.

Choice B rationale

Peripheral edema is a common sign of heart failure and cor pulmonale due to increased pressure in the venous system, leading to fluid accumulation in the tissues.

Choice C rationale

Increased respiratory rate may occur but is not specific to heart failure in cor pulmonale.

Choice D rationale

Cough with pink-tinged sputum is more indicative of pulmonary edema related to left-sided heart failure rather than cor pulmonale.

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Correct Answer is A

Explanation

Choice A rationale

Radiating pain to the left arm is a classic symptom of a myocardial infarction (MI) due to referred pain from the heart.

Choice B rationale

Shortness of breath can also be associated with MI but is not as specific as radiating pain to the left arm.

Choice C rationale

Headache is not a typical symptom of an MI. It is more commonly associated with other conditions.

Choice D rationale

Nausea and vomiting can occur with an MI but are not as specific as radiating pain to the left arm.

A. Intestinal malabsorption syndrome. B. Intestinal parasites. C. Chronic blood loss. D. Dietary iron restrictions.

Correct Answer is C

Explanation

Choice A rationale

Intestinal malabsorption syndrome is not typically associated with ulcerative colitis or anemia caused by this condition. Malabsorption is more often related to other gastrointestinal conditions.

Choice B rationale

Intestinal parasites are not a common cause of anemia in individuals with ulcerative colitis. The chronic inflammation and blood loss are more likely contributors.

Choice C rationale

Chronic blood loss from the intestinal lining due to ulcerative colitis is a major contributing factor to anemia. The ongoing inflammation and ulceration can cause significant blood loss over time.

Choice D rationale

Dietary iron restrictions are not typically associated with ulcerative colitis. Anemia in this context is more likely due to chronic blood loss rather than dietary deficiencies.

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A nurse is caring for a patient with long history of chronic obstructive pulmonary disease (COPD) who develops cor pulmonale.The nurse should monitor the patient for which expected finding if heart failure is present?

Nursing Test Bank

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A nurse is caring for a patient with long history of chronic obstructive pulmonary disease (COPD) who develops cor pulmonale.
The nurse should monitor the patient for which expected finding if heart failure is present?