Which clinical manifestations are indicative of right ventricular failure? (Select all that apply.)

Crackles upon auscultation of the lungs

Hepatomegaly

Jugular venous distention

Orthopnea

Peripheral edema

Answer and Explanation

Correct Answer : B,C,E

A. Crackles are more commonly associated with left ventricular failure, which leads to pulmonary congestion.

B. Hepatomegaly, or an enlarged liver, is a sign of right ventricular failure due to blood backing up in the systemic circulation.

C. Jugular venous distention is a classic sign of right ventricular failure as blood accumulates in the venous system.

D. Orthopnea, or difficulty breathing while lying down, is more indicative of left ventricular failure.

E. Peripheral edema is a hallmark of right ventricular failure, resulting from increased venous pressure.

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Correct Answer is D

Explanation

A. Homocysteine is a marker for cardiovascular risk but is not used to monitor heart failure therapy.

B. LDL levels are associated with cholesterol management and do not directly reflect heart failure treatment effectiveness.

C. Troponin is a marker of myocardial injury, not heart failure severity.

D. B-type natriuretic peptide (BNP) levels correlate with the severity of heart failure and are used to monitor the effectiveness of heart failure therapy.

A. "Perhaps you should discuss this with your physician." B. "I recommend you exercise daily and avoid smoking to decrease your risk." C. "Tell me more about these fears of dying from a heart attack." D. "Of course you aren't going to die, at least not in the immediate future."

Correct Answer is C

Explanation

A. Referring the patient to the physician without addressing the concern may make the patient feel dismissed.

B. While lifestyle changes are important, this response does not address the patient’s emotional concern directly.

C. Encouraging the patient to express their fears allows the nurse to provide emotional support and address any misconceptions or anxieties, which is crucial for holistic care.

D. This response could be seen as dismissive and may not address the patient’s underlying concerns or fears.

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A nurse is caring for a client in the emergency department (ED).

<div id="exhibits">Exhibits</div>

The nurse is planning care for the client. For each potential prescription, indicate whether it is an anticipated (high priority), nonessential (low priority), contraindicated(unrelated).

Select one or more in each option.

View Question and Answer

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Which clinical manifestations are indicative of right ventricular failure? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

Which laboratory test result will the nurse review to determine the effects of therapy for a patient being treated for heart failure?

Correct Answer is D

Explanation

A client who has coronary artery disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

While close family members are visiting, a patient has a respiratory arrest, and resuscitation is started. Which action by the nurse is best?

The nurse is caring for a patient with a left subclavian central venous catheter (CVC) and a left radial arterial line. Which assessment finding by the nurse requires immediate action?

The nurse is educating a patient's family member about a central venous pressure catheter (CVP). Which statement by the family member best indicates understanding of the purpose of the CVP?

A patient was admitted for terminal heart failure and is now eligible for a transplant. The family wants everything possible done to maintain life. Which procedure might be offered to the patient for this condition to increase the patient's quality of life?

A nurse is caring for a client who has heart failure and a potassium level of 2.4 mEq/L. The nurse should identify which of the following medications as the cause of the client's low potassium level?

A nurse is performing cardiopulmonary resuscitation (CPR) for an adult client who is unresponsive. The nurse should evaluate the client's circulation by palpating which of the following pulses?