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

Peripheral edema

Chest pain

Heart murmur

Crackles in lungs

Answer and Explanation

The Correct Answer is A

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Correct Answer is B

Explanation

Planning to slow down if tired the day after exercising is a statement that indicates the client understands the importance of pacing activities and avoiding overexertion, which can worsen heart failure symptoms.

a. "I should use naproxen to manage discomfort." is not correct, as naproxen is a nonsteroidal anti-inﬂammatory drug (NSAID) that can cause ﬂuid retention, increase blood pressure, and worsen heart failure. The client should avoid NSAIDs and use other analgesics, such as acetaminophen, unless contraindicated.

c. "I will read food labels and limit my sodium to 4 grams per day." is not appropriate, as 4 grams of sodium per day is too high for a client who has congestive heart failure. The client should limit sodium intake to 2 grams or less per day, as sodium can cause ﬂuid retention and increase the workload of the heart.

d. "I will take my diuretic before sleep and drink ﬂuids during the day." is not advisable, as taking a diuretic before sleep can cause nocturia and disrupt the sleep cycle, which can aﬀect the quality of life and cardiac function. The

A. Radial pulse in the left arm B. Radial pulse in the right arm C. Brachial pulse in the left arm D. Brachial pulse in the right arm E. None F. None

Correct Answer is A

Explanation

A. The radial pulse in the left arm can be palpated after a cardiac catheterization with a left antecubital insertion site. Although the focus is typically on the site of insertion and the brachial pulse, the radial pulse in the left arm can still provide useful information about circulation in that limb.
B. The radial pulse in the right arm is not pertinent because the catheterization was performed on the left side.
C. The brachial pulse in the left arm is indeed important to assess, but palpating the radial pulse in the left arm is also valid to check for circulation.
D. The brachial pulse in the right arm is not relevant in this scenario, as it does not relate to the site of catheterization.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions for a client who has congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was eﬀective?

Correct Answer is B

Explanation

The nurse is evaluating a client who had a cardiac catheterization with a left antecubital insertion site. Which of the following pulses should the nurse palpate?

Correct Answer is A

Explanation

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