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

Instruct the client to avoid eating raw fruit.
A low white blood cell count can be caused by cancer or cancer treatment and can increase the risk of infection.
One precaution that can be taken is to avoid all pre-cut fresh fruits and vegetables in delis, restaurants, and grocery stores.
Choice A Applying pressure to venipuncture sites for 10 min is not necessary for a low WBC count.
Choice B Moving the client to a negative pressure room is not necessary for a low WBC count.
Choice D Contact isolation while providing care is not necessary for a low WBC count.

A. Oral contraceptive use. B. Cirrhosis. C. Hypertension. D. NSAID use.

Correct Answer is A

Explanation

Oral contraceptive use is a risk factor for the development of DVTs.
Choice B is incorrect because cirrhosis is not a known risk factor for DVTs.
Choice C is incorrect because hypertension is not a known risk factor for DVTs.
Choice D is incorrect because NSAID use is not a known risk factor for DVTs.

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

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