Your patient is experiencing peripheral edema, hepatomegaly, ascites, and splenomegaly. Which of the following conditions would be consistent with the patient's findings?
Left-sided heart failure
Endocarditis
Myocardial infarction
Right-sided heart failure
The Correct Answer is D
A. Left-sided heart failure primarily leads to pulmonary symptoms, such as shortness of breath and fluid accumulation in the lungs, rather than peripheral edema, hepatomegaly, or ascites.
B. Endocarditis is an infection of the heart valves and does not typically cause the combination of peripheral edema, hepatomegaly, ascites, and splenomegaly.
C. Myocardial infarction (MI) can lead to heart failure, but the specific symptoms of peripheral edema, hepatomegaly, ascites, and splenomegaly are more characteristic of right-sided heart failure rather than MI alone.
D. Right-sided heart failure causes systemic venous congestion, which leads to peripheral edema, hepatomegaly, ascites, and splenomegaly due to the backup of blood in the systemic circulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Atherosclerosis, the buildup of fatty plaques in the arteries, is a common cause of death in patients with progeria. These patients experience accelerated aging, which leads to early development of cardiovascular diseases, including atherosclerosis, which contributes to their early mortality.
B. Psychosis is not typically associated with progeria. The condition primarily affects physical aging processes rather than causing psychiatric symptoms like psychosis.
C. While rapid aging is the hallmark of progeria, it is not the direct cause of death. Instead, it leads to the development of age-related diseases like cardiovascular issues, which are the main contributors to mortality.
D. Scleroderma is a condition involving the hardening of the skin and connective tissues, but it is not a direct cause of death in progeria. The primary cause of death is related to cardiovascular complications such as atherosclerosis.
Correct Answer is A
Explanation
A. Diabetic retinopathy, a common complication of diabetes, is caused by microvascular changes in the eye. Chronic high blood sugar can damage the small blood vessels in the retina, leading to visual impairment. This is the most common cause of visual impairment in people with long-standing diabetes.
B. Exophthalmos is typically associated with thyroid disorders, particularly Graves' disease, not diabetes.
C. Abnormal metabolism in the lens can lead to cataracts, but it is not the primary cause of visual impairment in diabetic patients.
D. Cataracts are more common in people with diabetes, but they are not the primary cause of visual impairment in diabetes. Diabetic retinopathy due to microvascular damage is the leading cause.
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