A client has been diagnosed with right-sided heart failure. What does the nurse expect to observe when assessing this client?
1. Decreased body temperature
2. Increased body temperature
3. Fatigue, shortness of breath, and cough
4. Peripheral edema
Correct Answer: 4
Rationale 1: Decreased body temperature is incorrect because this is not caused by right-sided heart failure.
Rationale 2: Increased body temperature is incorrect because this is not caused by right-sided heart failure.
Rationale 3: Fatigue, shortness of breath, and cough is incorrect because this is caused by left-sided heart failure.
Rationale 4: Peripheral edema is caused by right-sided heart failure.
Global Rationale: Peripheral edema is caused by right-sided heart failure. Decreased body temperature is incorrect because this is not caused by right-sided heart failure. Increased body temperature is incorrect because this is not caused by right-sided heart failure. Fatigue, shortness of breath, and cough is incorrect because this is caused by left-sided heart failure.
You might also like to view...
A patient has celiac disease and has damage to the villi in his small intestine. The nurse understands that this condition will have what effect on the patient?
A) Decreased absorption B) Gastric reflux C) Duodenal reflux D) Decreased peristalsis
A liver biopsy is the most conclusive diagnostic procedure for cirrhosis
Indicate whether the statement is true or false
Parentification is common in children and adolescents who are 9 years old or older and is especially common in which of the following circumstances?
a. then daily activities of the home are neglected b. then the caregivers are very authoritarian c. during the holiday season d. then there are several older siblings
To maintain normal fluid balance, an adult needs to ingest:
a. 1000 to 1500 mL of fluid a day. b. 1500 to 2000 mL of fluid a day. c. 2000 to 2500 mL of fluid a day. d. 2500 to 3000 mL of fluid a day.