The nurse evaluates an improvement in the patient’s heart failure (HF) status based on what assessment finding?
Improved mental status.
Using fewer pillows at night.
Increased skin turgor.
Heart rate regular.
The Correct Answer is B
Choice A rationale
Improved mental status can be a sign of better overall health but is not a specific indicator of improved heart failure status.
Choice B rationale
Using fewer pillows at night indicates reduced orthopnea, a common symptom of heart failure, suggesting that the patient’s heart failure status has improved.
Choice C rationale
Increased skin turgor indicates improved hydration status but is not a specific measure of heart failure improvement.
Choice D rationale
Heart rate regularity is important but does not directly indicate improved heart failure status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Peripheral edema is more commonly associated with right-sided heart failure rather than left-sided. This is because right-sided heart failure leads to systemic venous congestion, causing fluid to accumulate in the peripheral tissues, particularly in the legs and ankles.
Choice B rationale
Pulmonary edema is a major concern in left-sided heart failure due to the inability of the left ventricle to effectively pump blood out to the systemic circulation. This results in blood backing up into the pulmonary veins, leading to fluid accumulation in the lungs.
Choice C rationale
Liver edema, or hepatomegaly, is more typically seen in right-sided heart failure, where the failure of the right ventricle causes blood to back up into the systemic circulation, affecting the liver and other organs.
Choice D rationale
Abdominal edema, or ascites, is also more associated with right-sided heart failure. This condition occurs due to increased pressure in the veins and capillaries, leading to fluid leakage into the abdominal cavity.
Correct Answer is A
Explanation
Choice A rationale
Narcotic agents are commonly prescribed for the relief of moderate to severe acute pain.
Choice B rationale
Narcotic agents are not typically used for minor pain due to the risk of dependency and side effects.
Choice C rationale
Analgesia during sleep is not a usual indication for narcotics as their primary use is for pain relief.
Choice D rationale
Narcotics may be used during anesthesia, but the primary reason is pain relief. .
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