Which assessment finding indicates that a patient's heart failure (HF) is worsening?

An increase in O2 saturation to greater than 90%

The onset of atrial fibrillation

Louder S, and S2 heart sounds

A decrease in heart rate to 66 bpm

Answer and Explanation

The Correct Answer is B

A. An increase in O2 saturation to greater than 90%: An increase in oxygen saturation is typically a positive sign and does not indicate worsening heart failure.

B. The onset of atrial fibrillation: The development of atrial fibrillation (AFib) in a patient with heart failure is a sign of worsening heart failure, as it indicates increased atrial pressure and the potential for further hemodynamic compromise.

C. Louder S1 and S2 heart sounds: Louder heart sounds do not specifically indicate worsening heart failure. They may vary based on other factors such as body habitus or the position of the patient.

D. A decrease in heart rate to 66 bpm: A heart rate of 66 bpm is within the normal range and does not suggest worsening heart failure.

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Correct Answer is C

Explanation

A. A shunt will divert blood from the hepatic vein to the Inferior vena cava: This is not the correct pathway for a TIPS procedure.

B. A shunt will divert blood from the aorta to the inferior vena cava: This describes a different vascular pathway unrelated to TIPS.

C. A shunt will divert blood from the portal vein to the hepatic vein: TIPS (Transjugular Intrahepatic Portosystemic Shunt) is a procedure that creates a pathway between the portal vein and hepatic vein, reducing portal hypertension and preventing variceal bleeding.

D. A shunt will divert blood from the aorta to the hepatic vein: This is not the correct anatomical pathway for a TIPS procedure.

A. HCV B. HDV C. HEV D. HBV

Correct Answer is ["A","D"]

Explanation

A. HAV: Hepatitis A is spread via the fecal-oral route, often through contaminated food or water.

B. HCV: Hepatitis C is primarily spread through blood-to-blood contact, not the fecal-oral route.

C. HDV: Hepatitis D is spread through blood contact and requires Hepatitis B for replication.

D. HEV: Hepatitis E is spread through the fecal-oral route, similar to Hepatitis A.

E. HBV: Hepatitis B is spread through blood, sexual contact, and perinatal transmission, not the fecal-oral route.

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Which assessment finding indicates that a patient's heart failure (HF) is worsening?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is ["A","D"]

Explanation

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