While completing the cardiovascular system health history, a client reports difficulty falling asleep unless she is in an upright position. Which of the following potential problems should the nurse further investigate?

Chest pain

Orthopnea

Edema

Palpitations

Answer and Explanation

The Correct Answer is B

A. Chest pain: This symptom is important but does not specifically correlate with difficulty sleeping unless upright.

B. Orthopnea: Difficulty breathing while lying flat (orthopnea) is typically associated with heart failure and would require further investigation to understand its impact on the client's sleep.

C. Edema: While edema can be a sign of cardiovascular problems, it does not directly explain the difficulty in sleeping unless in an upright position.

D. Palpitations: Palpitations might affect sleep but are less directly linked to the need to sleep upright compared to orthopnea.

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Correct Answer is B

Explanation

A. Bronchitis primarily causes coughing and mucus production, and does not specifically relate to trouble breathing while lying down.

B. Heart failure often leads to orthopnea (difficulty breathing while lying flat) and paroxysmal nocturnal dyspnea (waking up at night with difficulty breathing). These symptoms align with the client's reported issues.

C. Pneumonia usually presents with acute symptoms such as cough, fever, and chest pain, rather than the specific nocturnal breathing difficulty described.

D. Tuberculosis typically involves symptoms like chronic cough, night sweats, and weight loss, rather than difficulty breathing while lying down.

A. Chordae tendineae B. Precordium C. Ventricles D. Semilunar valves

Correct Answer is C

Explanation

C. Ventricles: After blood is received by the atria, it flows through the atrioventricular (AV) valves into the ventricles.

A. Chordae tendineae: These are the tendinous cords that anchor the AV valves but are not the structures where blood flows.

B. Precordium: This term refers to the area of the chest wall over the heart, not a chamber of the heart where blood flows.

D. Semilunar valves: These valves are located between the ventricles and the arteries (pulmonary and aortic) and are not the immediate next location for blood after the atria.

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While completing the cardiovascular system health history, a client reports difficulty falling asleep unless she is in an upright position. Which of the following potential problems should the nurse further investigate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a health history, a male client tells the nurse that he "can't breathe well" at night when he is lying down and has trouble sleeping because he wakes up with trouble breathing. The nurse would assess this client further for which of the following?

Correct Answer is B

Explanation

After teaching a group of students about blood flow through the heart, the instructor determines that the teaching was successful when the students state that after being received by the atria, the blood goes to which of the following?

Correct Answer is C

Explanation

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