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A nurse is caring for a client with right sided heart failure. Which of the following symptoms should the nurse include in teaching the client about signs of worsening heart failure? (SELECT ALL THAT APPLY)

Unable to lie flat

Feeling fatigued

Distended neck veins

Increased appetite

Weight gain 2 in 24hours

Worsening Lower extremity edema

Answer and Explanation

Correct Answer : A,B,C,E,F

Rationale:

A. Unable to lie flat due to orthopnea is a sign of worsening heart failure.

B. Feeling fatigued is a general symptom of heart failure but can worsen as heart failure progresses.

C. Distended neck veins indicate increased central venous pressure, which is a sign of worsening right-sided heart failure.

D. Increased appetite is not typically associated with worsening heart failure.

E. Weight gain of 2 pounds in 24 hours indicates fluid retention and worsening heart failure.

F. Worsening lower extremity edema is a sign of worsening heart failure.

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Correct Answer is A

Explanation

Rationale:

A. Mitral valve regurgitation typically presents with a murmur, which is a characteristic sound associated with the backflow of blood into the left atrium during systole.

B. S3 and S4 are not typical heart sounds and do not relate to mitral valve regurgitation.

C. A click is typically associated with mitral valve prolapse, not mitral valve regurgitation.

D. A friction rub is typically associated with pericarditis, not mitral valve regurgitation.

A. The client will need annual flu vaccine B. Update Covid 19 vaccination C. You will require antibiotics before dental work. D. Avoid sick contacts

Correct Answer is C

Explanation

Rationale:

A. The client may need an annual flu vaccine, but this is not specific to infective endocarditis.

B. Updating the Covid-19 vaccination is important, but this is not specific to infective endocarditis.

C. The client will require antibiotics before dental work to prevent the spread of bacteria from the mouth to the heart.

D. Avoiding sick contacts is important for general health but is not specific to infective endocarditis.

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A nurse is caring for a client with right sided heart failure. Which of the following symptoms should the nurse include in teaching the client about signs of worsening heart failure? (SELECT ALL THAT APPLY)

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