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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. Rovsing sign: This sign involves pain in the right lower quadrant when palpating the left lower quadrant, indicating appendicitis.
B. Obturator sign: Pain on internal rotation of the hip when the knee is flexed can indicate irritation of the appendix.
C. Murphy sign: This sign is used to assess for cholecystitis, not appendicitis.
D. Psoas sign: Pain with extension of the right leg can indicate irritation of the appendix due to the psoas muscle.
Correct Answer is D
Explanation
A. Gallops refer to abnormal heart sounds that occur during the cardiac cycle, not typically associated with sounds over the carotid artery.
B. Murmurs are abnormal heart sounds that occur due to turbulent blood flow in the heart, not typically related to the carotid artery.
C. Normal findings would not usually include high-pitched swooshing sounds over the carotid artery; such sounds are abnormal.
D. Bruits are abnormal sounds caused by turbulent blood flow in the arteries, which can be detected as high-pitched swooshing sounds over the carotid artery, often indicative of stenosis or narrowing of the vessel.
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