A nurse in a provider's office is collecting data from a client who reports dyspnea and fatigue.
The nurse determines that the client also has tachycardia and edema. Which of the following disorders should the nurse suspect?
Asthma
Heart failure
Aortic valve regurgitation
Aortic stenosis
The Correct Answer is B
a. Asthma: While asthma can cause dyspnea and fatigue, it is not typically associated with tachycardia and edema.
b. Heart failure: Heart failure is characterized by symptoms such as dyspnea, fatigue,
tachycardia, and edema. Tachycardia may be a compensatory response to maintain cardiac output, and edema can result from fluid retention.
c. Aortic valve regurgitation: Aortic valve regurgitation may cause symptoms such as dyspnea and fatigue, but it is not typically associated with tachycardia and edema.
d. Aortic stenosis: Aortic stenosis may lead to symptoms such as dyspnea, but tachycardia and edema are not typical features of aortic stenosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a. Hypoglycemia: Hypokalemia is not typically associated with hypoglycemia.
b. Hyperreflexia: Hypokalemia can lead to decreased reflexes, not hyperreflexia.
c. Cardiac dysrhythmias: Hypokalemia can cause disturbances in cardiac conduction, potentially leading to dysrhythmias.
d. Increased appetite: Increased appetite is not a common manifestation of hypokalemia.
Correct Answer is B
Explanation
a. Neck vein distention: Neck vein distention may indicate fluid overload, but it is not a direct measure of fluid losses.
b. Body weight: Monitoring body weight before and after hemodialysis provides a direct
measure of fluid losses. Hemodialysis removes excess fluid, and changes in body weight reflect fluid balance.
c. Abdominal girth: Abdominal girth may be affected by fluid accumulation but is not a direct measure of fluid losses during hemodialysis.
d. Blood pressure: While blood pressure may be influenced by fluid status, it is not a specific measure of fluid losses during hemodialysis. Body weight is a more direct indicator of fluid removal.
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