The nurse is assessing a patient for heart failure (HF). Which early findings would indicate decreased cardiac output and a potential for fluid overload from heart failure?

Pallor and/or cyanosis of extremities

Orthopnea, peripheral edema, crackles

Dizziness, syncope. palpitations

PAWP of 12 and CVP of 6

Answer and Explanation

The Correct Answer is B

A. Pallor and/or cyanosis of extremities: While pallor and cyanosis can indicate severe heart failure, they are not early signs. These symptoms usually appear later in the disease process.

B. Orthopnea, peripheral edema, crackles: These are early signs of heart failure indicating fluid overload due to decreased cardiac output. Orthopnea is difficulty breathing when lying flat, peripheral edema is swelling in the limbs, and crackles indicate fluid in the lungs.

C. Dizziness, syncope, palpitations:These symptoms can occur in heart failure but are not specific to fluid overload; they are more indicative of decreased cardiac output and possible arrhythmias.

D. PAWP of 12 and CVP of 6: These values are within normal limits. PAWP (Pulmonary Artery Wedge Pressure) and CVP (Central Venous Pressure) would be elevated in fluid overload.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Patient stopped smoking five years prior to hospitalization: Smoking cessation materials are typically targeted to current smokers or those who have quit very recently (usually within the last year). This patient may not need smoking cessation materials as they have been smoke-free for a significant period.

B. Patient smokes five cigars a week: Smoking cigars still carries health risks similar to cigarettes and indicates the need for smoking cessation materials.

C. Patient uses chewing tobacco: Chewing tobacco is a form of smokeless tobacco, and while harmful, it would require different educational materials focused on smokeless tobacco cessation rather than smoking cessation.

D. Patient smoked cigarettes any time during the last year prior to hospitalization: This indicates current or recent smoking behavior which is a significant risk factor that needs to be addressed.

A. Annual vitamin K injections B. Use of standard precautions C. Consumption of a vitamin-rich diet D. Annual vitamin B12 injections E. Immunization

Correct Answer is ["B","E"]

Explanation

A. Annual vitamin K injections: Vitamin K injections do not prevent Hepatitis B.

B. Use of standard precautions: Standard precautions reduce the risk of exposure to bloodborne pathogens, including Hepatitis B.

C. Consumption of a vitamin-rich diet: While a healthy diet is important, it does not specifically prevent Hepatitis B.

D. Annual vitamin B12 injections: Vitamin B12 injections are unrelated to Hepatitis B prevention.

E. Immunization: Vaccination is a key preventive measure against Hepatitis B.

View Question and Answer

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

The nurse is assessing a patient for heart failure (HF). Which early findings would indicate decreased cardiac output and a potential for fluid overload from heart failure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing adult smoking cessation material for a patient admitted with heart failure. What criteria did the nurse use to determine that the patient should receive this material?

Correct Answer is B

Explanation

A nurse educator is teaching a group of recent nursing graduates about their occupational risks for contracting hepatitis B. What preventative measures should the educator promote? Select all that apply.

Correct Answer is ["B","E"]

Explanation

Which of the following is not a cause of high-output heart failure?

Which of the following signs/symptoms would not be seen in a patient with cirrhosis?

A nurse is caring for a client on mechanical ventilation and finds the client agitated and thrashing about. What action by the nurse is most appropriate?

The nurse assesses the port balloon on the ETT (endotracheal tube) of an intubated patient and is unsure if the balloon is properly inflated. What is the nurse's best action?

Which of the following is an indication of Left sided heart failure?

Interpret the following ABG: PH 7.51 Pa02 88 PaC02 32 Bicarb (HC03-) 26 Sa02 95%

A patient with cirrhosis is becoming lethargic and confused. Which of the following labs does the nurse expect the HCP (health care provider) to order?

What is the rationale for esophageal variceal bleeding in a patient with cirrhosis?