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A nurse is collecting data from a client who has left-sided heart failure. Which of the following findings should the nurse expect?

A.

Shortness of breath while lying down

B.

Jugular venous distention

C.

Right upper quadrant pain

D.

Pitting edema of the lower legs

Answer and Explanation

The Correct Answer is A

A. Shortness of breath while lying down. Shortness of breath when lying down, or orthopnea, is common in left-sided heart failure due to fluid backing up into the lungs, causing pulmonary congestion.

 

B. Jugular venous distention. Jugular venous distention is more commonly associated with right-sided heart failure due to systemic venous congestion.

 

C. Right upper quadrant pain. Right upper quadrant pain is associated with liver congestion due to right-sided heart failure, not left-sided heart failure.

 

D. Pitting edema of the lower legs. Pitting edema is a symptom of right-sided heart failure, as fluid backs up into the peripheral circulation.


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View Related questions

Correct Answer is ["A","B","C","D"]

Explanation

A. Smoking: Smoking is a modifiable risk factor as quitting smoking reduces the risk of atherosclerosis.

B. Hypertension: High blood pressure can be managed through lifestyle changes and medication, making it a modifiable risk factor.

C. Hypercholesterolemia: High cholesterol levels can be controlled through diet, exercise, and medications, making it modifiable.

D. Obesity: Obesity is a modifiable risk factor, as weight loss through diet and exercise can reduce the risk of atherosclerosis.

E. Genetic predisposition: Genetic predisposition is non-modifiable, meaning individuals cannot change their inherited risk for atherosclerosis.

Correct Answer is A

Explanation

A. The ST segment is above the isoelectric line. An elevated ST segment is a hallmark sign of acute myocardial infarction (MI), indicating myocardial injury.

B. The QRS intervals are 0.08 second. A QRS interval of 0.08 seconds is within the normal range and does not indicate myocardial infarction.

C. The QT interval is equal to the R to R interval. QT interval measurements are not diagnostic for acute MI.

D. The PR intervals are 0.15 second. A PR interval of 0.15 seconds is within the normal range and is not indicative of acute MI.

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