A patient is in systolic heart failure. Which description best fits the state of the left ventricle?
Thin and strong
Thick and weak
Thin and weak
Thick and strong
The Correct Answer is C
A. A thin and strong left ventricle is not typical of systolic heart failure.
B. A thick and weak ventricle is more characteristic of diastolic heart failure (impaired relaxation and filling).
C. Systolic heart failure involves impaired contraction of the left ventricle, which often becomes thin and weak due to ventricular dilation and loss of contractile strength.
D. A thick and strong ventricle is not typical of heart failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Decorticate posturing is characterized by arms flexed at the elbows with wrists and fingers bent inward toward the chest, indicating damage to the cerebral hemispheres or corticospinal tract.
B. Grimacing and leg movement with neck flexion describe a positive Brudzinski’s sign, related to meningeal irritation, not posturing.
C. Inability to extend the leg with hip flexion causing pain describes a positive Kernig’s sign, also related to meningeal irritation.
D. Arms extended and rigid with palms turned outward describe decerebrate posturing, indicating more severe brainstem injury.
Correct Answer is B
Explanation
A. Dependent edema is more commonly seen in right-sided heart failure due to systemic venous congestion.
B. A hacking cough, especially at night or when lying down, is a common symptom of left-sided heart failure caused by pulmonary congestion.
C. Abdominal distension is typically related to right-sided heart failure causing liver congestion and ascites.
D. Jugular venous distention is a sign of right-sided heart failure.
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