You are assessing a patient suspected of having right-sided heart failure. What assessment finding may indicate right-sided heart failure?
A) Pulmonary edema
B) Distended neck veins
C) Dry cough
D) Orthopnea
Ans: B
Feedback: Right-sided heart failure may manifest by distended neck veins, dependent edema, hepatomegaly, weight gain, ascites, anorexia, nausea, nocturia, and weakness.
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The health nurse is dealing with a case of untreated chlamydial infection. The nurse suspects the patient has developed Reiter syndrome
Which of the following clinical manifestations would support this diagnosis? Select all that apply. A) Diffuse pinkness of the conjunctiva along with watery and itchy eyes B) Asymmetric complaints of stiffness and pain in knees and sacroiliac joints C) Cervical tissue very friable and bleeds easily D) Pain when urinating E) Fatigue and tiredness from heart valve vegetation
The first step of developing a client centered concept map involves
a. performing a complete physical assessment b. data collection c. interviewing the client d. orienting the client to their environment
A woman who has just delivered her infant observes the nurse administering ophthalmic ointment into her infant's eyes, and she asks why this is being done. The nurse will explain that this ointment is given for which purpose?
a. To prevent chemical conjunctivitis b. To prevent infection c. To provide moisture d. To treat infection
A nurse is educating a client and family about the neurologic system as it relates to the stroke that the client had. Which is a function of a neuron that the nurse needs to include in the client's teaching?
A) Connects the cerebral hemispheres B) Responsible for movement and coordination C) Responsible for long-term memory D) Conducts messages within the neurologic system