Which assessment finding would the nurse expect from a patient with left-sided heart failure?
Pulmonary congestion
Hepatomegaly
Splenomegaly
Gastrointestinal congestion
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While bile and pancreatic enzymes play a role in digestion, dumping syndrome is not related to an increase in their secretion.
B. Dumping syndrome is not caused by an inability to digest high-fat foods, but rather by the rapid passage of undigested food into the small intestine, which can cause symptoms like nausea, dizziness, and diarrhea.
C. Dumping syndrome occurs when food, especially sugar, moves too quickly from the stomach into the small intestine, overwhelming the digestive system. This leads to symptoms like abdominal cramping, dizziness, and diarrhea.
D. Dumping syndrome is not related to insulin secretion; it is more about the rapid emptying of food into the small intestine.
Correct Answer is A
Explanation
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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