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 D
Explanation
A. A difference between the apical pulse rate and the radial pulse rate is more indicative of a pulse deficit, which is not specific to constrictive pericarditis.
B. A drop in systolic blood pressure by 20 mm Hg when changing positions describes orthostatic hypotension, not paradoxical blood pressure.
C. An increase in heart rate when moving from sitting to standing reflects orthostatic changes, not paradoxical blood pressure.
D. Paradoxical blood pressure refers to a decrease in systolic blood pressure of more than 10 mm Hg during inspiration, which can occur in constrictive pericarditis due to impaired filling of the heart during diastole.
Correct Answer is ["B","D","E"]
Explanation
A. Hypotension is not typically associated with ESRD; hypertension is more common due to fluid retention and alterations in renin-angiotensin system.
B. Bone pain is common in ESRD due to disturbances in calcium and phosphate metabolism, leading to renal osteodystrophy.
C. Bradypnea is not an expected finding; however, patients may exhibit Kussmaul respirations if they have metabolic acidosis.
D. Slurred speech is a typical finding in ESRD.
E. Pruritus is a common symptom in ESRD due to the buildup of uremic toxins and alterations in calcium and phosphate metabolism.
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