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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Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A. Moon face is a classic manifestation of Cushing's syndrome. It is caused by fat redistribution and is often seen as a round, puffy face.
B. Purple striations, or stretch marks, are common in Cushing's syndrome due to the skin's thinning and the increased collagen breakdown from elevated cortisol levels.
C. Tremors are not typically associated with Cushing's syndrome. The syndrome is more often characterized by physical changes such as weight gain, muscle weakness, and fatigue, rather than neurological symptoms like tremors.
D. Hypertension is a common manifestation of Cushing's syndrome. Elevated cortisol levels can lead to increased blood pressure due to fluid retention and vasoconstriction.
E. Buffalo hump, the accumulation of fat on the upper back and neck, is another characteristic sign of Cushing's syndrome. This is caused by fat redistribution, a hallmark of the condition.
Correct Answer is A
Explanation
A. Applying ice to the affected area is recommended after arthroscopic knee surgery to reduce swelling and pain. Ice helps control inflammation and promotes healing.
B. Bedrest is not typically necessary after arthroscopic knee surgery. Early mobilization is encouraged to prevent complications such as blood clots and to promote recovery.
C. Active range of motion should not be started immediately post-surgery unless specifically instructed by the surgeon. Early movement may be recommended, but it is generally passive range of motion or gentle exercises initially.
D. Keeping the leg in a dependent position could increase swelling. The leg should be elevated to reduce swelling, especially in the first few days after surgery.
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