Following a myocardial infarction (MI) of the left ventricle, a patient develops left heart failure (LHF). Findings commonly associated with LHF include
low preload.
pleural effusion.
peripheral edema.
pulmonary edema.
The Correct Answer is D
A. Preload is typically increased in LHF, as blood backs up in the left side of the heart.
B. Although pleural effusion can occur as a secondary complication in some cases of heart failure, it is not as directly indicative of LHF as pulmonary edema.
C. Peripheral edema is more characteristic of right heart failure, where blood backs up in the systemic circulation.
D. Pulmonary edema is a hallmark finding in left heart failure as the left ventricle fails to pump effectively, causing fluid to accumulate in the lungs due to back pressure from the left atrium into the pulmonary veins.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hydronephrosis may lead to renal dysfunction but does not directly explain the altered mental status or confusion in this context.
B. Uremic encephalopathy occurs due to the accumulation of waste products, particularly urea, in the bloodstream, which can lead to neurotoxicity and confusion.
C. Metabolic alkalosis does not typically cause confusion; it is more related to acid-base disturbances and does not develop from over-secretion of bicarbonate in renal failure.
D. Hypotension due to hypophosphatemia is not a common cause of confusion, and while electrolyte imbalances can affect mental status, this option does not directly connect with renal failure.
Correct Answer is D
Explanation
A. Serum creatinine levels within the normal range (0.6-1.2) do not specifically indicate intra-renal AKI.
B. A high 24-hour creatinine clearance is not typically associated with intra-renal AKI, as kidney injury often leads to decreased filtration and clearance.
C. A low serum creatinine level (0.5) would generally indicate good kidney function rather than AKI.
D. Casts in the urine are indicative of damage within the kidney tubules, which is a characteristic finding of intra-renal AKI, often due to cellular injury or necrosis within the kidney itself.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.