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 C
Explanation
A. "Be sure to wear this equipment for the next 24 hours." This statement applies to a Holter monitor, not a 12-lead ECG. A 12-lead ECG is a brief, one-time test.
B. "You might feel some slight tingling during the procedure." A 12-lead ECG does not involve any sensation like tingling. It simply records the heart’s electrical activity without causing any discomfort.
C. "Try to remain still once I have attached the gel pads." Movement during an ECG can interfere with the results by causing artifact, so it's important for the client to remain still while the test is being performed.
D. "I will be placing some electrodes on your scalp."Electrodes for a 12-lead ECG are placed on the chest and limbs, not on the scalp.
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.
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