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The nurse is reviewing the client's medical record.

Exhibits

Which of the following findings indicates the client's condition has improved? Select all that apply.

Blood pressure

Echocardiogram results

Respiratory rate

Pain level

Oxygenation saturation

Urinary output

Heart rate

Answer and Explanation

Correct Answer : A,C,D,E,G

Improvement in blood pressure would suggest better cardiovascular stability

A stable or decreased respiratory rate would indicate improved respiratory function and potentially reduced chest tightness.

An increase in oxygen saturation levels would indicate improved respiratory function and cardiovascular status.

A decrease in pain level would indicate improvement in the chest tightness and radiating pain experienced by the client.

A decrease in heart rate may indicate improved cardiovascular function and reduced stress on the heart.

Urinary output and echocardiogram results are not typically immediate indicators of improvement in the client's condition following an episode of chest tightness and radiating pain.

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Correct Answer is C

Explanation

C. Oliguria can occur in severe cases of left-sided heart failure. When the heart's ability to pump blood forward is compromised, blood flow to the kidneys decreases, leading to decreased urine production.
A. Pedal edema is more commonly associated with right-sided heart failure.
B. Neck vein distention is typically associated with right-sided heart failure where increased pressure in the right side of the heart leads to jugular venous distention
D. Enlarged liver, or hepatomegaly, can occur in right-sided heart failure due to congestion and backup of blood in the hepatic circulation.

A. Weight gain B. Distended abdomen C. Confusion D. Dyspnea

Correct Answer is D

Explanation

A. Weight gain occurs due to accumulation of fluid in the body due to back pressure into the system circulation.
B. Distended abdomen occurs due to fluid accumulation due to reduced stroke volume.

C.While confusion can be a symptom of decreased cardiac output, it's not as specific as dyspnea in this case. Confusion can have various causes, including hypoxia, electrolyte imbalances, or medication side effects.
D. This is a common symptom of left-sided heart failure. When the left ventricle fails to pump blood effectively, fluid backs up into the lungs, causing shortness of breath.

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The nurse is reviewing the client's medical record. Exhibits Which of the following findings indicates the client's condition has improved? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has left-sided heart failure. Which of the following manifestations should the nurse expect?

Correct Answer is C

Explanation

A nurse is caring for a client who has left-sided heart failure. Which of the following findings should indicate to the nurse that the client is experiencing a decrease in cardiac output?

Correct Answer is D

Explanation

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The nurse is reviewing the client's medical record.

Exhibits

Which of the following findings indicates the client's condition has improved? Select all that apply.