A nurse us collecting data from a client who has right sided heart faiulure. Which of the following should the nurse expect?
Crackles
Productive cough
Hepatomegaly
Dizziness
The Correct Answer is C
A. Crackles: Crackles in the lungs are a sign of left-sided heart failure, as fluid backs up into the pulmonary system.
B. Productive cough: A productive cough is also more commonly associated with left-sided heart failure, as it can result from fluid accumulation in the lungs.
C. Hepatomegaly: Hepatomegaly is a sign of right-sided heart failure, as blood backs up into the systemic circulation, leading to congestion in the liver.
D. Dizziness: Dizziness may occur in left-sided heart failure due to decreased cardiac output, but it is not a typical finding in right-sided heart failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5"]
Explanation
Desired dose: 25 mg
Available dose: 50 mg/tab
Formula:
Tabletstoadminister=Desireddose ÷ Availabledosepertablet
= 25mg ÷ 50mg/tab
= 0.5 tablets
Therefore, the nurse should administer 0.5 tablet(s) per dose.
Correct Answer is A
Explanation
A. Withhold the digoxin dose for decreased heart rate. Digoxin should be withheld if the heart rate is less than 60 bpm because it can further slow the heart rate. The nurse should notify the provider and hold the medication.
B. Withhold the digoxin dose for elevated BP. Digoxin does not affect blood pressure, so an elevated BP is not a reason to withhold the medication.
C. Administer digoxin 0.125 mg. Changing the dosage is outside the nurse's scope of practice. The nurse should withhold the medication based on the client's heart rate and notify the provider.
D. Administer digoxin 0.25 mg. Given the client's heart rate of 54 bpm, administering digoxin would be unsafe, as it could further reduce the heart rate.
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