A nurse is caring for an older adult client who has left-sided heart failure. Which of the following assessment findings should the nurse expect?

Dependent edema

Frothy sputum

Nocturnal polyuria

Jugular distention

Answer and Explanation

The Correct Answer is B

Frothy sputum is a sign of left-sided heart failure, due to the pulmonary congestion and impaired gas exchange. The sputum may be pink-tinged or blood-streaked, indicating pulmonary edema.

a. Dependent edema is more likely to be seen in clients who have right-sided heart failure, due to the increased venous pressure and ﬂuid retention. The edema is usually symmetrical and aﬀects the lower extremities, abdomen, and sometimes the face.

c. Nocturnal polyuria is not a specific finding of left-sided heart failure, but it may occur in clients who have renal impairment, diabetes mellitus, or diuretic therapy.

d. Jugular distention is another sign of right-sided heart failure, due to the increased central venous pressure and backward ﬂow of blood into the superior vena cava. It is visible as a bulging of the neck veins, especially when the client is in a semi-Fowler's position.

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Correct Answer is ["1 tablet"]

Explanation

To calculate the number of tablets, divide the total dose by the dose per tablet. In this case, the total dose is 1.5 mg / 3 = 0.5 mg and the dose per tablet is 0.5 mg. Therefore,

(number of tablets) = (0.5 mg) / (0.5 mg) = 1 tablet

Round the answer to the nearest tenth and use a leading zero if it applies. Do not use a trailing zero because it could be misread as a decimal point. Therefore, the nurse should administer 1 tablet per dose.

A. Avoid taking the medication prior to exercising. B. Stop taking the medication and notify your provider if you develop a headache. C. Place the tablet under your tongue, and then take a small sip of water. D. The medication can take up to 15 minutes to take eﬀect.

Correct Answer is C

Explanation

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A nurse is caring for an older adult client who has left-sided heart failure. Which of the following assessment findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1 tablet"]

Explanation

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Correct Answer is C

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