A nurse is assessing a client who has right-sided heart failure.

Which of the following assessment findings should the nurse expect to find?

Poor skin turgor.

Pitting edema.

Oliguria.

S4 galloping heart sounds.

Answer and Explanation

The Correct Answer is B

Pitting edema is a common and obvious symptom of right-sided heart failure.

This occurs when fluid retention causes swelling in the lower limbs and sometimes the abdomen.
Choice A is incorrect because poor skin turgor is not a common symptom of right-sided heart failure.
Choice C is incorrect because oliguria, or decreased urine output, is not a common symptom of right-sided heart failure.
Choice D is incorrect because S4 galloping heart sounds are not a common symptom of right-sided heart failure.

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Correct Answer is C

Explanation

Metformin should be withheld for a minimum of 48 hours after the procedure.

This is because metformin can increase the risk of contrast-induced acute kidney injury (CI-AKI) when undergoing contrast imaging.
Choice A, Clopidogrel, is not an answer because it is not mentioned in the search results as a medication that needs to be withheld after a CT scan with contrast media.
Choice B, Furosemide, is not an answer because it is not mentioned in the search results as a medication that needs to be withheld after a CT scan with contrast media.
Choice D, Carvedilol, is not an answer because it is not mentioned in the search results as a medication that needs to be withheld after a CT scan with contrast media.

A. Glasgow Coma Scale score changes from 14 to 9. B. WBC count changes from 9,000 to 16,000/mm. C. Pulse pressure changes from 30 to 20 mm Hg. D. Bilateral pupil diameter changes from 4 to 2 mm.

Correct Answer is A

Explanation

A decrease in the Glasgow Coma Scale (GCS) score indicates a decline in the client’s level of consciousness and neurological function.
This can be a sign of increased intracranial pressure or other complications related to the skull fracture.
Choice B is incorrect because an increase in WBC count may indicate an infection, but it is not as concerning as a decrease in GCS score.
Choice C is incorrect because a change in pulse pressure may indicate changes in cardiovascular function, but it is not as concerning as a decrease in GCS score.
Choice D is incorrect because a change in pupil diameter may indicate changes in neurological function, but it is not as concerning as a decrease in GCS score.

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A nurse is assessing a client who has right-sided heart failure. Which of the following assessment findings should the nurse expect to find?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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A nurse is assessing a client who has right-sided heart failure.

Which of the following assessment findings should the nurse expect to find?