A nurse is monitoring the cardiac output of a client who has left-sided heart failure using pulse pressure analysis. Which of the following findings can compromise the readings?

The client is experiencing premature atrial contractions.

The client has bilateral wheezes.

The client has a decreased oxygen saturation level.

The client has lower leg edema.

Answer and Explanation

The Correct Answer is A

A. The client is experiencing premature atrial contractions is correct. Premature atrial contractions can interfere with pulse pressure analysis and affect the accuracy of cardiac output measurements.

B. The client has bilateral wheezes is incorrect. Wheezes affect lung function, not directly the accuracy of pulse pressure analysis for cardiac output.

C. The client has a decreased oxygen saturation level is incorrect. While it is a concern, it does not compromise pulse pressure readings directly.

D. The client has lower leg edema is incorrect. Edema affects peripheral circulation but does not directly compromise pulse pressure measurements for cardiac output.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D"]

Explanation

A. Skeletal pain: Paget's disease of the bone often results in bone pain due to the excessive breakdown and regrowth of bone tissue.
B. Waddling gait: The disease can cause leg bones to bend, leading to a waddling gait.
C. Cranial enlargement: Overgrowth of bone in the skull can occur, potentially leading to cranial enlargement.
D. Vision deficits: When Paget's disease affects the skull, it can put pressure on nerves, possibly leading to vision deficits.
E. Cold extremities: This is not a typical symptom of Paget's disease of the bone and is therefore not a correct answer. Cold extremities are more commonly associated with peripheral vascular diseases rather than Paget's disease.

Correct Answer is []

Explanation

Condition:

A. Transfusion-associated circulatory overload (TACO)

Rationale: The client’s symptoms—dyspnea, restlessness, crackles in the lungs, jugular vein distension, and elevated blood pressure—are consistent with TACO, a condition resulting from excessive fluid volume during a blood transfusion.

Actions to Take:

C. Administer furosemide

Rationale: Furosemide is a diuretic that helps reduce fluid overload, which is a key issue in TACO.

B. Administer diphenhydramine

Rationale: Although not the primary treatment for TACO, diphenhydramine can help manage symptoms if there is a mild allergic reaction contributing to the situation.

Parameters to Monitor:

A. Intake and output

Rationale: Monitoring intake and output helps assess fluid balance and effectiveness of treatment for TACO.

D. Weight

Rationale: Weight monitoring helps assess fluid overload and effectiveness of diuretic therapy

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A nurse is monitoring the cardiac output of a client who has left-sided heart failure using pulse pressure analysis. Which of the following findings can compromise the readings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has Paget's disease of the bone. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

Correct Answer is []

Explanation

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