The nurse is assessing a client with the diagnosis of left-sided heart failure. Which clinical finding should the nurse expect the client to experience?

Orthopnea

Bradycardia

Diaphoresis

Frequent coughing with yellow sputum

Answer and Explanation

The Correct Answer is A

A. Orthopnea is correct. Left-sided heart failure causes pulmonary congestion, making it difficult for the client to breathe when lying flat. This results in orthopnea, where the client must sit up or use multiple pillows to breathe comfortably.
B. Bradycardia is incorrect. Heart failure typically leads to tachycardia due to the heart compensating for decreased cardiac output.
C. Diaphoresis is incorrect. While excessive sweating can occur in acute decompensated heart failure, it is not a hallmark symptom of left-sided heart failure.
D. Frequent coughing with yellow sputum is incorrect. A client with left-sided heart failure may have a dry or frothy, pink-tinged cough, but yellow sputum suggests infection rather than heart failure.

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Correct Answer is C

Explanation

A. Annual Influenza immunization is important for individuals with chronic bronchitis but does not directly prevent the disorder from occurring. It helps reduce respiratory infections, which can exacerbate symptoms.
B. Regular moderate exercise improves overall lung function but does not specifically prevent chronic bronchitis.
C. Smoking cessation is the most effective measure in preventing chronic bronchitis. Chronic bronchitis is strongly linked to long-term cigarette smoking, which causes inflammation and excessive mucus production in the airways.
D. Maintenance of ideal weight supports overall health but is not a primary factor in preventing chronic bronchitis.

A. “It is all right to have a couple of beers because I have this CPAP machine." B. “The CPAP will help me stay awake during the day while I am at work." C. "If I lose weight I may not need treatment for sleep apnea." D. "The CPAP machine holds my airway open with pressure."

Correct Answer is A

Explanation

A. Alcohol relaxes throat muscles, worsening obstructive sleep apnea (OSA). The client should be educated to avoid alcohol, even while using a CPAP machine.
B. CPAP improves sleep quality and reduces daytime sleepiness, making this statement accurate.
C. Weight loss can reduce the severity of OSA, and some clients may no longer need treatment after significant weight loss.
D. The CPAP machine functions by delivering continuous air pressure to keep the airway open, which is a correct statement.

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The nurse is assessing a client with the diagnosis of left-sided heart failure. Which clinical finding should the nurse expect the client to experience?

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Naxlex Comprehensive Predictor Exams

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