The nurse recognizes the patient has clinical manifestations of left sided heart failure when noticing the following during the assessment

hepatomegaly.

crackles auscultated in the lungs.

peripheral edema

distended neck veins.

Answer and Explanation

The Correct Answer is B

A.   Hepatomegaly, or enlargement of the liver, is more commonly associated with right-sided heart failure. When the right side of the heart fails, it can lead to systemic venous congestion, which causes blood to back up in the liver and results in hepatomegaly.
B.   Crackles (or rales) heard on lung auscultation are a hallmark of left-sided heart failure. This is due to the accumulation of fluid in the alveoli and interstitial spaces of the lungs, which occurs when the left side of the heart is unable to effectively pump blood forward.
C.   Peripheral edema, or swelling of the extremities, is typically associated with right-sided heart failure rather than left-sided heart failure.
D.   Distended neck veins are a sign of right-sided heart failure, not left-sided heart failure. This occurs when there is elevated pressure in the systemic venous system due to the right side of the heart being unable to effectively pump blood into the pulmonary circulation.

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Correct Answer is B

Explanation

A. Fever is a common manifestation of infective endocarditis and often indicates an ongoing infection or systemic inflammatory response. While it is important to monitor fever as it can signal worsening infection or treatment response, it is not necessarily the highest priority when compared to other potentially life-threatening complications.

B. Dyspnea, or difficulty breathing, is a critical manifestation to monitor in a patient with infective endocarditis. This symptom may indicate the presence of heart failure or pulmonary embolism, which can result from the infection.
C. Anorexia, or loss of appetite, is a common but less urgent symptom associated with various infections, including infective endocarditis. While it can affect the patient's nutritional status and overall well-being, it is not usually the most immediate or life-threatening concern compared to more acute manifestations like dyspnea.
D. Malaise, or a general feeling of discomfort or unease, is a common symptom of many infections, including infective endocarditis. While it reflects the patient's overall state of health and can be distressing, it is generally less critical than symptoms indicating acute or severe complications, such as dyspnea.

A. rheumatoid arthritis, B. nausea and vomiting. C. rheumatic fever. D. fatigue and malaise.

Correct Answer is C

Explanation

A. Rheumatoid arthritis is an autoimmune disease that is not directly related to Group A streptococcal pharyngitis.
B. Nausea and vomiting are common symptoms of Group A streptococcal pharyngitis, but they are not the most serious complication.
C. A serious complication of untreated Group A streptococcal pharyngitis, rheumatic fever can cause inflammation of the heart, joints, skin, and brain. With prompt antibiotic treatment, the risk of developing rheumatic fever can be significantly reduced.
D. Fatigue and malaise are common symptoms of many illnesses, including Group A streptococcal pharyngitis. However, the most serious complication of untreated Group A streptococcal pharyngitis is rheumatic fever.

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The nurse recognizes the patient has clinical manifestations of left sided heart failure when noticing the following during the assessment

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has infective endocarditis. Which of the following manifestations is the priority for the nurse to monitor for?

Correct Answer is B

Explanation

A patient has been diagnosed with Group A Streptococcal pharyngitis. The nurse recognizes the need for antibiotic therapy to help prevent the development of which serious condition

Correct Answer is C

Explanation

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