The nurse is caring for a client after a coronary artery bypass graft surgery. The client is exhibiting pitting edema of the lower extremities and jugular venous distention with increased central venous pressure. Which condition should the nurse suspect the client is experiencing based on these findings?
Internal bleeding.
Right-sided heart failure.
Cardiac tamponade.
Left ventricular dysfunction.
The Correct Answer is B
A. Internal bleeding may present with symptoms such as hypotension, tachycardia, and signs of blood loss, but it typically does not cause pitting edema or jugular venous distention.
B. Right-sided heart failure can cause systemic venous congestion, leading to pitting edema of the lower extremities and jugular venous distention due to increased central venous pressure.
C. Cardiac tamponade presents with Beck's triad (hypotension, distended neck veins, muffled heart sounds) and is typically more acute in onset compared to the gradual development of symptoms seen in right-sided heart failure.
D. Left ventricular dysfunction primarily causes symptoms of pulmonary congestion, such as dyspnea, orthopnea, and crackles, rather than pitting edema and jugular venous distention.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Eating a bland diet and avoiding spicy foods are not specific recommendations for diverticulosis management. They may be applicable for other gastrointestinal conditions.
B. Having small frequent meals and sitting up after meals are general dietary recommendations for digestive health but are not specific to diverticulosis management.
C. Eating a soft diet with increased intake of milk and milk products may not be suitable for diverticulosis management, especially if lactose intolerance is present. Additionally, a soft diet may lack sufficient fiber.
D. Eating a high-fiber diet and increasing fluid intake are key recommendations for managing diverticulosis. High-fiber foods help promote regular bowel movements and prevent constipation, which can exacerbate diverticulosis.
Correct Answer is A
Explanation
A. Methotrexate is commonly used in the treatment of rheumatoid arthritis (RA) to slow the progression of the disease by suppressing the immune system's response that causes inflammation. Aspirin may be used concurrently to provide symptomatic relief from pain and inflammation associated with RA.
B. While methotrexate may have side effects, its primary indication in RA treatment is to slow disease progression rather than to mitigate aspirin side effects.
C. Methotrexate and aspirin typically work through different mechanisms of action and are not typically used together to enhance each other's effectiveness.
D. Methotrexate and aspirin have different side effect profiles, but the primary reason for adding methotrexate is to slow the progression of RA rather than to replace aspirin due to side effects.
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