A 54-year-old man has a myocardial infarction, resulting in left-sided heart failure.
The nurse caring for the man is most concerned that he will develop edema in what area of the body.
Peripheral.
Pulmonary.
Liver.
Abdominal.
The Correct Answer is B
Choice A rationale
Peripheral edema is more commonly associated with right-sided heart failure rather than left-sided. This is because right-sided heart failure leads to systemic venous congestion, causing fluid to accumulate in the peripheral tissues, particularly in the legs and ankles.
Choice B rationale
Pulmonary edema is a major concern in left-sided heart failure due to the inability of the left ventricle to effectively pump blood out to the systemic circulation. This results in blood backing up into the pulmonary veins, leading to fluid accumulation in the lungs.
Choice C rationale
Liver edema, or hepatomegaly, is more typically seen in right-sided heart failure, where the failure of the right ventricle causes blood to back up into the systemic circulation, affecting the liver and other organs.
Choice D rationale
Abdominal edema, or ascites, is also more associated with right-sided heart failure. This condition occurs due to increased pressure in the veins and capillaries, leading to fluid leakage into the abdominal cavity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
The small intestine is where nutrients are absorbed, but it is not where vitamin D is activated. Vitamin D is first converted in the liver and then activated in the kidneys to promote calcium absorption.
Choice B rationale
This is incorrect because vitamin D is activated into a form that promotes calcium absorption. The active form is crucial for maintaining calcium and phosphate levels in the blood.
Choice C rationale
The kidneys play a significant role in converting vitamin D to its active form, calcitriol. This activated form is essential for the absorption of calcium in the intestines.
Choice D rationale
The large intestine is involved in water absorption and waste formation but not in the activation of vitamin D. The activation process primarily occurs in the kidneys and liver. .
Correct Answer is C
Explanation
Choice A rationale
Reassuring the client without addressing the persistent cough would not be appropriate as it may signal a need for a different medication. The ACE inhibitor captopril can cause a bothersome, persistent cough in some patients due to increased bradykinin levels.
Choice B rationale
Instructing the patient to stop the medication immediately is not advised without consulting the healthcare provider. While the cough is a known side effect, stopping the medication abruptly may lead to unmanaged hypertension.
Choice C rationale
Scheduling an appointment with the provider to discuss changing to an angiotensin II receptor blocker (ARB) is appropriate. ARBs do not typically cause a persistent cough, making them a suitable alternative for patients who experience this side effect with ACE inhibitors.
Choice D rationale
Instructing the patient to go to the emergency room immediately is unnecessary as the persistent cough is a common side effect of ACE inhibitors and not an emergency situation. Emergency action is warranted for symptoms of angioedema, such as swelling of the face or throat.
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