Which of the following symptoms is indicative of right-sided heart failure?
Crackles
Orthopnea
Jugular venous distention
Blood-tinged sputum
The Correct Answer is C
Choice A reason: Crackles indicate pulmonary edema from left-sided heart failure, where fluid backs up into lungs, not right-sided failure, which affects systemic circulation instead.
Choice B reason: Orthopnea, dyspnea when lying flat, results from left-sided failure’s pulmonary congestion, not right-sided failure, which causes systemic venous pooling, not lung issues.
Choice C reason: Jugular venous distention occurs in right-sided heart failure as the right ventricle fails, backing blood into veins, elevating neck vein pressure visibly.
Choice D reason: Blood-tinged sputum suggests pulmonary edema or infarction, tied to left-sided failure or embolism, not right-sided failure’s systemic congestion pattern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Prednisolone reduces inflammation and thyroid hormone production in thyroid storm, stabilizing metabolism, a standard adjunct, so this order is appropriate.
Choice B reason: Aspirin displaces thyroid hormone from proteins, worsening hyperthyroidism in thyroid storm, risking increased T3/T4 effects, so it’s contraindicated and questionable.
Choice C reason: Diazepam controls agitation and seizures in thyroid storm’s hypermetabolic state, calming the nervous system, making it a suitable order here.
Choice D reason: Metoprolol blocks beta-adrenergic effects, slowing heart rate in thyroid storm’s tachycardia, a critical intervention, so this order is clinically sound.
Correct Answer is D
Explanation
Choice A reason: Anuria in hemodialysis is expected due to renal failure; it’s not acute unless accompanied by distress, less urgent than chest pain’s potential severity.
Choice B reason: Itching in cirrhosis from bile salts is uncomfortable but not life-threatening, ranking below chest pain, which could indicate critical cardiac or pulmonary issues.
Choice C reason: Pain when walking in PAD (claudication) is chronic and stable, not an immediate threat compared to chest pain, which requires urgent evaluation.
Choice D reason: Chest pain in lupus may signal pericarditis or pleuritis, potentially life-threatening complications, prioritizing assessment for rapid intervention over stable conditions.
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.