Which assessment finding would the nurse expect from a patient with left-sided heart failure?

Pulmonary congestion

Hepatomegaly

Splenomegaly

Gastrointestinal congestion

Answer and Explanation

The Correct Answer is A

A. Pulmonary congestion is a hallmark of left-sided heart failure. When the left ventricle fails to pump effectively, blood backs up into the lungs, causing symptoms like shortness of breath, crackles, and fluid accumulation in the lungs.
B. Hepatomegaly is more commonly associated with right-sided heart failure, as the right side of the heart is unable to effectively pump blood to the lungs, leading to a backup of blood into the systemic circulation, including the liver.
C. Splenomegaly, like hepatomegaly, is typically seen in right-sided heart failure due to the backup of blood in the systemic circulation.
D. Gastrointestinal congestion is more often associated with right-sided heart failure, where blood backs up into the abdominal organs, leading to symptoms like nausea, bloating, and abdominal pain.

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Correct Answer is C

Explanation

A. While aspirin has analgesic properties, it is not primarily used for pain relief in the case of myocardial infarction (MI). Its main role in MI is to reduce the risk of further clot formation.
B. Aspirin has anti-inflammatory properties, but in the case of MI, its primary role is not inflammation reduction but rather preventing platelet aggregation.
C. Aspirin acts as an antiplatelet aggregate, which is its key action in preventing the formation of blood clots. This is crucial for patients with a history of MI, as it helps reduce the risk of further clot-related events, such as a recurrent MI or stroke.
D. Aspirin does have antipyretic effects, but this is not the primary reason for its use in MI.

A. Anxiety B. Lightheadedness C. Elevated temperature D. Fluid volume deficit

Correct Answer is B

Explanation

A. Anxiety is not a typical finding in bradycardia. However, if bradycardia leads to symptoms like dizziness or hypotension, the patient may experience anxiety as a secondary response.
B. Lightheadedness is a common symptom of bradycardia. When the heart rate is too slow, the body may not pump enough blood to meet its oxygen demands, leading to dizziness or lightheadedness.
C. Elevated temperature is not typically associated with bradycardia. Fever is more likely to be related to infection or other systemic issues, not a slow heart rate.
D. Fluid volume deficit is not directly related to bradycardia. However, bradycardia could contribute to hypotension, which may be exacerbated by fluid volume deficits, but it is not a direct cause of fluid loss.

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Which assessment finding would the nurse expect from a patient with left-sided heart failure?

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Naxlex Comprehensive Predictor Exams

A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?

Correct Answer is C

Explanation

A nurse is assessing a client who has bradycardia. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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