A nurse is monitoring the cardiac output of a client who has left-sided heart failure using pulse pressure analysis. Which of the following findings can compromise the readings?

The client is experiencing premature atrial contractions.

The client has bilateral wheezes.

The client has a decreased oxygen saturation level.

The client has lower leg edema.

Answer and Explanation

The Correct Answer is A

A. The client is experiencing premature atrial contractions is correct. Premature atrial contractions can interfere with pulse pressure analysis and affect the accuracy of cardiac output measurements.

B. The client has bilateral wheezes is incorrect. Wheezes affect lung function, not directly the accuracy of pulse pressure analysis for cardiac output.

C. The client has a decreased oxygen saturation level is incorrect. While it is a concern, it does not compromise pulse pressure readings directly.

D. The client has lower leg edema is incorrect. Edema affects peripheral circulation but does not directly compromise pulse pressure measurements for cardiac output.

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Correct Answer is B

Explanation

A. Bounding peripheral pulses are more associated with fluid overload, not diabetes insipidus.

B. Tachycardia can occur in diabetes insipidus due to dehydration and fluid loss.

C. Hypertension is not a typical finding; clients with diabetes insipidus often have low blood pressure due to fluid loss.

D. Hyperglycemia is associated with diabetes mellitus, not diabetes insipidus.

A. The client states having nasal congestion. B. The client states having a severe headache. C. The client's blood pressure becomes elevated. D. The client's bladder becomes distended.

Correct Answer is D

Explanation

A. Nasal congestion is not a primary sign of autonomic dysreflexia, though it can be a symptom of other conditions.

B. A severe headache can be a symptom of autonomic dysreflexia but is not the sole indicator of the condition.

C. Elevated blood pressure can be a result of autonomic dysreflexia but is not necessarily an indication of risk without other symptoms.

D. A distended bladder is a common trigger for autonomic dysreflexia in clients with a spinal cord injury at or above T-6, making it a key indicator for monitoring.

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A nurse is monitoring the cardiac output of a client who has left-sided heart failure using pulse pressure analysis. Which of the following findings can compromise the readings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has diabetes insipidus. Which of the following findings is a manifestation of this diagnosis?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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