What assessment finding would indicate the patient's left-sided heart failure is worsening?
Increased jugular venous pressure.
Liver enlargement.
Increased pulse rate.
Increased crackles in lung fields.
The Correct Answer is D
Choice A rationale
Increased jugular venous pressure is more commonly associated with right-sided heart failure, where blood backs up into the venous system.
Choice B rationale
Liver enlargement is also indicative of right-sided heart failure due to congestion of the liver blood vessels.
Choice C rationale
Increased pulse rate can occur in both left and right-sided heart failure but is not a specific indicator of worsening left-sided failure.
Choice D rationale
Increased crackles in lung fields indicate fluid accumulation in the lungs, a sign of worsening left-sided heart failure. Left-sided heart failure leads to pulmonary congestion due to inadequate pumping of blood from the left ventricle.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Myasthenia gravis primarily affects voluntary muscles, especially those involved in breathing and facial movements. Gastrointestinal (GI) and lower extremity muscles are generally not the main muscles affected by this condition. It is an autoimmune disorder that impacts the neuromuscular junction, where nerves communicate with muscles, leading to muscle weakness and fatigue.
Choice B rationale
The central nervous system (CNS), memory, and cognition are not typically impacted by myasthenia gravis. This disorder primarily involves peripheral nervous system issues that affect voluntary muscle control rather than cognitive functions. Myasthenia gravis does not cause alterations in memory or cognition as seen with central nervous system disorders like Alzheimer's disease.
Choice C rationale
Myasthenia gravis notably affects respiratory and facial muscles. The autoimmune attack on acetylcholine receptors leads to muscle weakness, particularly in muscles controlling eye movements, facial expressions, and breathing. Patients may experience difficulty breathing, swallowing, and maintaining an open airway due to this muscle weakness.
Choice D rationale
The cardiovascular system and postural muscles are not commonly affected by myasthenia gravis. This condition involves the neuromuscular junction and leads to fatigue in voluntary muscles, primarily those involved in eye movement, facial expressions, and respiration. Cardiovascular symptoms are not a direct consequence of myasthenia gravis.
Correct Answer is A
Explanation
Choice A rationale
Many complementary or alternative therapies can interact with prescribed medications, potentially causing serious health problems.
Choice B rationale
This is not a valid reason for asking about alternative therapies, as the nurse's role is to ensure safe and effective use of prescribed medications.
Choice C rationale
Non-compliance is not the primary concern when asking about alternative therapies; potential interactions are.
Choice D rationale
The cost of treatments is a consideration, but it is not the primary reason for asking about alternative therapies.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.