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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

Explanation

A. To prevent blood clotting: Aspirin is an antiplatelet agent, and it reduces blood clot formation, which helps prevent further cardiac events after an MI.

B. To reduce inflammation: Although aspirin has anti-inflammatory properties, this is not the primary reason for its use in post-MI clients.

C. To prevent fever: Aspirin can reduce fever, but this is not its purpose in MI prevention.

D. To provide analgesia: Aspirin can relieve pain, but in this context, it is used to prevent blood clotting, not as an analgesic.

Correct Answer is B

Explanation

A. Fatigue. Fatigue can be a common symptom of various health conditions, including heart disease, and is not specific to pacemaker malfunction.

B. Rapid pulse. A rapid pulse or palpitations may signal a malfunction where the pacemaker is pacing too quickly or erratically.

C. Increased urine output. Increased urine output is not related to pacemaker function and does not indicate a malfunction.

D. Sneezing. Sneezing is unrelated to pacemaker malfunction and does not warrant provider notification.

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