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 B
Explanation
A. Adjusting thirst sensation is not the primary focus of treatment for Diabetes Insipidus. The condition is more concerned with fluid balance and preventing dehydration due to excessive urination.
B. Hydration is crucial in the management of Diabetes Insipidus, as patients experience excessive urination and fluid loss. Proper hydration helps prevent dehydration and its associated complications.
C. A 24-hour urine collection is used to assess the extent of polyuria but is not a primary treatment strategy. Treatment focuses on managing fluid balance rather than just monitoring urine output.
D. While increasing Antidiuretic Hormone (ADH) or using synthetic ADH (desmopressin) can be part of treatment, the key treatment focus is maintaining adequate hydration to counteract the effects of polyuria.
Correct Answer is B
Explanation
A. Immunodeficiency does not directly cause endocrine disorders, although some immune system issues can affect endocrine function, such as in autoimmune diseases.
B. Adenomas (benign tumors) are the most common cause of endocrine disorders, as they can overproduce hormones or disrupt normal gland function, leading to conditions like hyperthyroidism or Cushing's disease.
C. Surgical removal of endocrine glands may cause endocrine disorders, but it is a result of treatment rather than a common cause.
D. Infection can lead to endocrine disorders, particularly in cases of infectious diseases affecting specific glands (e.g., thyroiditis), but it is not the most common cause overall.
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