What assessment finding would indicate the patient's left-sided heart failure is worsening?
Increased jugular venous pressure.
Liver enlargement.
Increased pulse rate.
Increased crackles in lung fields.
The Correct Answer is D
Choice A rationale
Increased jugular venous pressure is more commonly associated with right-sided heart failure, where blood backs up into the venous system.
Choice B rationale
Liver enlargement is also indicative of right-sided heart failure due to congestion of the liver blood vessels.
Choice C rationale
Increased pulse rate can occur in both left and right-sided heart failure but is not a specific indicator of worsening left-sided failure.
Choice D rationale
Increased crackles in lung fields indicate fluid accumulation in the lungs, a sign of worsening left-sided heart failure. Left-sided heart failure leads to pulmonary congestion due to inadequate pumping of blood from the left ventricle.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Pharmacodynamics is the study of how drugs affect the body, including the mechanisms of action and the relationship between drug concentration and effect. It does not describe the actions of the nurses in this context.
Choice B rationale
Pharmacotherapeutics involves the use of drugs to diagnose, treat, and prevent disease. The actions of the nurses in administering iodine, chemotherapy, and vaccines are examples of pharmacotherapeutics, as they are using drugs for therapeutic purposes.
Choice C rationale
Pharmacoeconomics is the study of the cost and value of drugs and therapies. It does not describe the actions of the nurses in administering medications.
Choice D rationale
Pharmacokinetics is the study of how the body absorbs, distributes, metabolizes, and excretes drugs. It does not describe the actions of the nurses in this context.
Correct Answer is ["D","E"]
Explanation
Choice A rationale
Asking the patient if they take any medication is redundant since this information has already been collected.
Choice B rationale
Inquiring if the patient takes "this medication" is vague and does not provide specific information about the types of medication they are taking.
Choice C rationale
Asking about medication safety practices does not directly relate to the types of medications the patient is taking.
Choice D rationale
It is important to ask about herbs, vitamins, or supplements as these can interact with prescribed medications and affect the patient's health.
Choice E rationale
Over-the-counter (OTC) medications can also have significant interactions with prescription drugs and impact the patient's overall health and treatment plan.
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