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 B
Explanation
A. Coffee has not been shown to significantly increase the risk of gout attacks and may even have a protective effect due to its antioxidant properties.
B. Alcohol, especially beer and spirits, can trigger gout attacks by increasing the level of uric acid in the blood. Alcohol consumption should be limited or avoided to reduce the risk of gout flare-ups.
C. Milk and other low-fat dairy products are actually recommended for people with gout, as they may help lower uric acid levels.
D. Orange juice, while high in vitamin C, does contain fructose, which can increase uric acid production. However, it is not as significant a trigger as alcohol. Moderation is key.
Correct Answer is B
Explanation
A. Securing the drain to the client's bed sheet is not an appropriate method for securing the JP drain; it should be secured to the client’s gown or clothing to avoid tension on the drain.
B. Expelling the air from the JP bulb after emptying to re-establish suction is necessary to ensure that the drain continues to function correctly by maintaining negative pressure.
C. Measuring the drainage every hour for the first 8 hr postoperative is more frequent than necessary; monitoring can be done every 4-8 hours depending on the protocol.
D. Removing the JP drain when the drainage has ceased, covering the opening with sterile gauze is incorrect; the drain should be removed per the surgeon’s orders, and the site should be covered with a sterile dressing.
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