The nurse is assessing a patient who is known to have right-sided HF. What assessment finding is most consistent with this patient's diagnosis?
A) Pulmonary edema
B) Distended neck veins
C) Dry cough
D) Orthopnea
Ans: B
Feedback:
Right-sided HF may manifest by distended neck veins, dependent edema, hepatomegaly, weight gain, ascites, anorexia, nausea, nocturia, and weakness. The other answers do not apply.
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The nurse would determine that a client with fractured ribs needs further self-care instructions when the client says
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