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

Dizziness

Crackles in the lungs

Dry, hacking cough

Hepatomegaly

Answer and Explanation

The Correct Answer is D

A. Dizziness is not a primary finding of right ventricular failure but may be associated with other conditions.

B. Crackles in the lungs are more associated with left ventricular failure.

C. Dry, hacking cough is not a primary symptom of right ventricular failure but may be seen in left-sided heart failure.

D. Hepatomegaly is a common finding in right ventricular failure due to increased pressure in the venous system.

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Correct Answer is A

Explanation

A. Yellow sclera
Yellow sclera indicates jaundice, which could be a sign of liver dysfunction. Both isoniazid and rifampin can cause hepatotoxicity, and monitoring for jaundice is crucial to ensure the safety of the client.

B. Increasing AST level
AST level is slightly elevated but remains in the upper range of normal. Continued monitoring is necessary but may not require immediate reporting unless liver function significantly deteriorates.

C. Weight loss
Weight loss is consistent with the client’s condition and does not necessarily require immediate reporting unless it is severe or unmanageable.

D. Mantoux test result
The Mantoux test result is negative, which may be expected in the early phase of tuberculosis treatment. It should be monitored over time.

E. Increasing ALT level
ALT is slightly elevated but still within normal limits, though it's essential to continue monitoring for trends.

F. Reddish-orange urine color
Reddish-orange urine is a known side effect of rifampin and does not typically require immediate reporting

A. Learn to control impulsive behavior. B. Establish the ability to communicate effectively. C. Compensate for loss of depth perception. D. Improve left-side motor function.

Correct Answer is B

Explanation

A. Learning to control impulsive behavior is more relevant for a right hemispheric CVA, which affects impulse control and judgment.

B. Establishing the ability to communicate effectively is crucial for a left hemispheric CVA, which often affects language and speech functions.

C. Compensating for loss of depth perception is related to right hemispheric CVA, which affects spatial awareness and perception.

D. Improving left-side motor function is important but secondary to addressing communication issues in a left hemispheric CVA where language deficits are a priority.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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