A nurse is collecting data from a client who has left sided heart failure. For which of the following findings should the nurse notify the provider?

Weight loss of 1 kg (2.2 lb) in the past 24 hr

Pale, clammy skin

Fatigue when ambulating 152 m (500 ft)

Productive cough with pink, frothy sputum

Answer and Explanation

The Correct Answer is D

A productive cough with pink, frothy sputum is indicative of pulmonary edema, which is a serious manifestation of left-sided heart failure.

It suggests fluid accumulation in the lungs, impairing gas exchange and oxygenation.

Prompt notification of the provider is crucial for appropriate intervention and management of the client's condition.

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Correct Answer is B

Explanation

This response acknowledges the client's concern and offers support and guidance. By demonstrating and encouraging the client to participate in swaddling and cuddling the newborn, the nurse promotes bonding, provides a practical solution for soothing the baby, and empowers the client to actively engage in caring for her child.

A. Dry mouth B. Tinnitus C. Constipation D. Hematuria

Correct Answer is C

Explanation

Iron supplementation commonly causes constipation, which is due to the iron's effect of slowing down bowel movements and increasing water absorption in the intestines.

Dry mouth is not a common adverse effect of iron supplementation. It is more commonly associated with medications that can cause xerostomia (dry mouth), such as certain antihistamines or anticholinergic drugs.

Tinnitus, a perception of ringing or noise in the ears, is not typically associated with iron supplementation. Tinnitus can be caused by various factors, such as exposure to loud noises, ear infections, or certain medications, but it is not directly related to iron supplementation.

Hematuria, the presence of blood in the urine, is not a common adverse effect of iron supplementation. It can be caused by various conditions affecting the urinary system, such as urinary tract infections, kidney stones, or bladder issues, but it is not directly related to iron supplementation.

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A nurse is collecting data from a client who has left sided heart failure. For which of the following findings should the nurse notify the provider?

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Naxlex Comprehensive Predictor Exams

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