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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Dobutamine does not directly affect blood glucose levels.
B. While dobutamine can increase heart rate, this is not a primary indicator of its effectiveness in treating heart failure.
C. Increased urine output indicates improved cardiac output and kidney perfusion, suggesting that dobutamine is effectively enhancing the heart's pumping ability.
D. Dobutamine may cause a slight decrease in blood pressure, but this is not a primary measure of its effectiveness in heart failure treatment.
Correct Answer is B
Explanation
A. Obtain a cardiology consult is not an immediate action for an irregular heart rate during suctioning; it is a more long-term consideration.
B. Perform pre-oxygenation prior to suctioning is the correct action to prevent hypoxia, which can cause increased heart rate and irregular rhythms during suctioning.
C. Administer an antidysrhythmic medication is not appropriate for the immediate concern of heart rate changes during suctioning.
D. Suction the client less frequently does not address the acute problem of the irregular heart rate; pre-oxygenation before suctioning is more relevant.
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