Which of the following is an indication of Left sided heart failure?
Pulmonary crackles/rales
Weight gain
Hepatomegaly
Jugular vein distention
The Correct Answer is A
A. Pulmonary crackles/rales: Left-sided heart failure leads to a buildup of fluid in the lungs, causing pulmonary congestion and crackles/rales on auscultation.
B. Weight gain: This is more commonly associated with right-sided heart failure due to fluid retention, though it can be seen in both types of heart failure.
C. Hepatomegaly: Hepatomegaly is typically associated with right-sided heart failure due to congestion in the systemic circulation.
D. Jugular vein distention: JVD is a sign of right-sided heart failure, as it indicates increased central venous pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
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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