On examination, the nurse would expect what finding if a client is in right-sided heart failure?
Increased jugular venous pressure
Decreased right-sided volume
Decreased stroke volume
Decreased central venous pressure
The Correct Answer is A
A. Increased jugular venous pressure: Right-sided heart failure often leads to increased jugular venous pressure due to the backup of blood in the systemic venous system.
B. Decreased right-sided volume: Right-sided heart failure typically results in increased blood volume in the right heart chambers, not decreased.
C. Decreased stroke volume: While right-sided heart failure can affect stroke volume, increased jugular venous pressure is a more direct indicator of right-sided heart failure.
D. Decreased central venous pressure: Right-sided heart failure usually results in increased, not decreased, central venous pressure.
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Related Questions
Correct Answer is D
Explanation
A. Aortic murmurs: These are best assessed with the client in an upright or slightly leaning forward position, not specifically the left lateral position.
B. Atrial repolarization: This is not directly assessed by body position; it is part of the ECG assessment.
C. The first heart sound: The first heart sound (S1) is heard throughout the auscultation process and is not specifically enhanced by a left lateral position.
D. Mitral stenosis: The left lateral position allows better auscultation of the mitral area, where mitral stenosis murmurs are best heard.
Correct Answer is C
Explanation
A. ST segment: Represents the period between ventricular depolarization and repolarization.
B. QRS complex: Represents ventricular depolarization.
C. T wave: Indicates ventricular repolarization, or relaxation, after the QRS complex.
D. P wave: Represents atrial depolarization.
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