What assessment finding would indicate the patient's left-sided heart failure is worsening?

A) Increased jugular venous pressure
B) Liver enlargement
C) Increased crackles in lung fields
D) Increased pulse rate


C
Feedback:
Fluid may accumulate in the lungs due to left sided heart failure. Patients may evidence dyspnea, tachypnea, and orthopnea. Right-sided failure would include increased jugular venous pressure and liver enlargement. Pulse rate could increase or decrease depending on medications administered.

Nursing

You might also like to view...

Which of the following may induce acute bronchitis?

A) Aspiration B) Drug ingestion C) Chemical irritation D) Direct lung damage

Nursing

The PACU nurse is ensuring a postoperative client's intravenous line is infusing without difficulty. The goal of intravenous therapy in the immediate postoperative period is to:

a. meet the metabolic needs of the client. b. maintain circulating volume. c. provide calories. d. sedate the client.

Nursing

A client has a low serum calcium level. During a bath the nurse cleans the client's face with a cloth, and the lips, nose, and side of the face contract. The nurse documents the presence of

a. Bell's palsy. b. Chvostek's sign. c. tic douloureux. d. Trousseau's sign.

Nursing

The nurse is caring for an abused mother in the postpartum department. The patient is afraid to go home, but has no money to do anything else. What can the nurse do to assist this individual and her baby?

1. Work with social services to have the patient and her baby go to a safe place, complete paperwork to obtain financial assistance, and obtain some temporary assistance. 2. Explain that she will have to go home at this time, but provide her with paperwork to complete to obtain assistance. 3. Offer to have her partner come in and attend a counseling session with her. 4. Suggest that once she gets home, she should pursue getting a restraining order against her abuser.

Nursing