Which of the following are manifestations of right heart failure?
severe chest pain and tachycardia
edematous feet and legs with hepatomegaly
orthopnea, fatigue and hypertension
frequent cough with blood streaked, frothy sputum
The Correct Answer is B
A. Severe chest pain and tachycardia: These symptoms are more characteristic of acute coronary syndromes or myocardial ischemia rather than right-sided heart failure. While tachycardia can occur as a compensatory mechanism, chest pain is not a typical manifestation of right heart failure.
B. Edematous feet and legs with hepatomegaly: Right-sided heart failure leads to systemic venous congestion. This results in peripheral edema, often starting in the feet and legs, and liver congestion causing hepatomegaly. These are classic signs reflecting impaired venous return and fluid accumulation.
C. Orthopnea, fatigue and hypertension: Orthopnea is more commonly associated with left-sided heart failure due to pulmonary congestion. Fatigue can occur in both left and right heart failure, but hypertension and orthopnea are not defining features of isolated right-sided failure.
D. Frequent cough with blood-streaked, frothy sputum: This symptom is indicative of pulmonary edema, which is primarily a result of left-sided heart failure. Right-sided heart failure causes systemic rather than pulmonary congestion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Superior vena cava: The superior vena cava returns deoxygenated blood from the upper body to the right atrium, not the left atrium. It is part of the systemic venous circulation.
B. Aorta: The aorta carries oxygenated blood from the left ventricle to the systemic circulation. It does not return blood to the heart and is an arterial, not venous, vessel.
C. Pulmonary veins: Pulmonary veins carry oxygenated blood from the lungs back to the left atrium. This is the only vessel in the systemic circulation that delivers oxygen-rich blood directly to the heart.
D. Inferior vena cava: The inferior vena cava returns deoxygenated blood from the lower body to the right atrium. Like the superior vena cava, it does not transport blood to the left atrium.
E. Pulmonary arteries: Pulmonary arteries carry deoxygenated blood from the right ventricle to the lungs for oxygenation. They do not return blood to the heart and do not connect to the left atrium.
Correct Answer is B
Explanation
A. Hyperchromic: Hyperchromic erythrocytes have an increased hemoglobin concentration and may appear darker than normal. Red blood cells have a limited ability to become truly hyperchromic, making this finding uncommon. It does not describe cells with reduced hemoglobin content.
B. Hypochromic: Hypochromic erythrocytes contain a decreased concentration of hemoglobin, resulting in a pale appearance with increased central pallor. This finding is commonly associated with disorders of hemoglobin synthesis such as iron deficiency anemia. It directly reflects low hemoglobin concentration within the erythrocytes.
C. Macrocytic: Macrocytic erythrocytes are larger than normal and are typically linked to vitamin B12 or folate deficiency. The defining feature is increased cell size rather than hemoglobin concentration. Macrocytosis does not specifically indicate reduced hemoglobin within the cells.
D. Microcytic: Microcytic erythrocytes are smaller than normal and are often seen in iron deficiency anemia or thalassemia. Although these cells may also be hypochromic, the term refers specifically to decreased cell size. It does not directly describe low hemoglobin concentration.
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.
