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 A

Explanation

A. Nursing assistants are at an increased risk for carpal tunnel syndrome due to the repetitive nature of tasks like lifting, transferring, and assisting patients, which can lead to strain on the wrist and pressure on the median nerve. This is a classic risk factor for developing carpal tunnel syndrome.
B. Truck drivers may experience some repetitive motion strain, but their primary risk factors are more related to prolonged sitting, poor posture, and vibration exposure rather than specific wrist movements.
C. Elementary school teachers may engage in repetitive activities like writing or grading, but these are less likely to cause carpal tunnel syndrome compared to occupations that involve frequent lifting or fine motor work.
D. Assembly line workers may be at risk for repetitive motion injuries, but the risk for carpal tunnel syndrome is more specific to jobs that require frequent wrist flexion and extension, such as those involving typing or assembly work requiring fine motor skills.

A. WBC count 20,000/mm3 B. Potassium 3.8 mEq/L C. Hematocrit 40% D. Creatinine 0.9 mg/dL

Correct Answer is A

Explanation

A. A WBC count of 20,000/mm3 is elevated, which suggests the presence of infection or inflammation. This is concerning and should be reported to the surgeon, as an infection or other underlying issue could delay or contraindicate surgery.
B. A potassium level of 3.8 mEq/L is within the normal range (3.5–5.0 mEq/L). It does not require immediate intervention and is not a concern for surgery.
C. A hematocrit of 40% is within the normal range for an adult female (typically 36–48%), so it does not require intervention.
D. A creatinine level of 0.9 mg/dL is normal for most adults (0.6–1.2 mg/dL), suggesting normal kidney function and not requiring any intervention.

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

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