The nurse caring for a client with right heart failure realizes that which of the following is most likely to occur with this client?
1. Indigestion
2. Reduced urine output
3. Reduced circulation to the pulmonary structures
4. Leg cramps
3. Reduced circulation to the pulmonary structures
Rationale:
Circulation to the pulmonary structures begins with the right side of the heart. The client with right heart failure will have reduced circulation to these structures. There is no evidence to suggest that right heart failure will cause indigestion or reduced urine output. Not all clients with right heart failure experience leg cramps.
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Which statement made by a client prescribed cyclobenzaprine (Amrix) requires additional teaching?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. "My wife and I are driving our motor home to the beach tomorrow." B. "I am going home to mow my lawn." C. "I take a nap every afternoon." D. "I just checked out a new book from the library." E. "I am taking my grandchildren to the zoo tomorrow."
Decreased intervillious exchange of oxygenated blood resulting in fetal hypoxia is typically present in _______.
A. Variable decelerations B. Late decelerations C. Early decelerations D. Accelerations
The nurse suspects that an older adult client may have pneumonia. Older adult clients may react differently to infectious processes, so the nurse is alert to atypical signs and symptoms, such as which one of the following?
a. Hypotension b. Confusion c. Erythema d. Chills
The nurse is caring for several patients and determines which patient to be at the most risk for developing an infection related to a decreased anti-inflammatory response?
a. A patient who has been experiencing high levels of stress for the last 3 months b. A patient whose glycosylated Hgb level is 6.7% c. A patient recently diagnosed with os-teoarthritis d. A patient scheduled for laparoscopic cho-lecystectomy in 2 weeks related to gall-stones