Which of these symptoms is associated with left-sided heart failure?
a. increased sputum production c. increased blood pressure
b. cyanosis d. edema of the ankles and lower legs
B
Early manifestations include fatigue, dyspnea on exertion, pedal edema, a slight cough, and paroxysmal nocturnal dyspnea leading to cyanosis. In right-sided failure, the client then develops edema on the ankles, lower legs, thighs, and abdomen; jugular veins become distended; and oliguria develops.
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A 78-year-old widow needs assistance with medications, housekeeping, and laundry, and would like to maintain independence. Which is the best option for the nurse to suggest?
a. Assisted living b. Respite care c. Nursing center d. Rehabilitation center
The nurse is implementing sleep restriction therapy with an older patient. What intervention will be performed to support this plan of treatment?
1. Structuring patient naps to occur midmorning and midafternoon 2. Putting on the television in the room after getting the patient ready for sleep 3. Teaching the patient to watch the second hand move on the clock while waiting to fall asleep 4. Planning to wake the patient up at the same time each morning regardless of the sleep obtained
A patient with hearing loss is being evaluated to determine whether the loss is sensorineural or conductive. Which of the following Weber's test results indicates the presence of a sensorineural loss?
A) The sound is heard better in the ear in which he has better hearing. B) The sound is heard equally in both ears. C) The sound is heard better in the ear in which he has poorer hearing. D) The sound is heard longer in the ear in which he has better hearing.
The client who is 4 days postoperative from a total knee replacement asks why she is prescribed to take aspirin daily. What is the nurse's best response?
A. "It's to help control your pain." B. "It's to reduce swelling in the incision." C. "It's to prevent arthritis from developing." D. "It's to prevent the formation of blood clots."