Practice Question
What is the best indication if the client with congestive heart failure is holding excess fluid?
Answer Choices:
Correct Answer:
Daily weights
Rationale:
🎀Daily weight is the most accurate indicator of fluid gain or loss in clients with CHF.
🎀A 1 kg (2.2 lb) weight gain equals ~1 liter of fluid, which helps detect early fluid overload.
🎀 Other signs like edema or crackles may appear later, making weight a more sensitive measure.
🎀 Weighing at the same time daily (with same clothing) ensures consistency.
🎀 Important for evaluating effectiveness of diuretics or fluid restrictions.
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This question is from Ivytech community college Med Surg II exam which contains 36 questions.
More Questions from This Exam
A client is being admitted to the medical unit to rule out cardiac issues related to valve malfunction. Which question should the nurse ask the client during the admission interview to support this diagnosis?
Answer Choices:
A. “Did you have rheumatic fever as a child?”
B. “Do you have a family history of valve problems?”
C. “Do you have a history of MRSA?”
D. “What over-the-counter medications do you take?”
A group of student nurses are practicing taking blood pressures. A 56-year-old male student has a blood pressure reading of 146/96 mm Hg. Upon hearing the reading, he exclaims, “My pressure has never been this high. Do you think my doctor will prescribe medication to reduce it?” Which of the following responses by the nursing instructor would be best?
Answer Choices:
A. “A single elevated blood pressure does not confirm hypertension. A diagnosis of hypertension requires two or more elevated readings taken by your physician before a diagnosis can be made.”
B. “We will need to reevaluate your blood pressure because your age places you at high risk for hypertension.”
C. “Hypertension is prevalent among men: it is fortunate we caught this during your routine examination.”
D. “You have no need to worry. Your pressure is probably elevated because you are being tested.”
A client with a complex cardiac history is scheduled for transesophageal echocardiography. Which of the following statements, if made by the nurse, is inappropriate?
Answer Choices:
A. “The test will provide a detailed profile of the heart’s electrical activity.”
B. “I will need to start an IV in your arm before the test.”
C. “Your throat may be a little sore after the exam.”
D. “You will need to refrain from eating and drinking 6-8 hours before this test.”
The nurse is taking health history for a client who reports pain in his lower left leg and foot when walking. The pain is relieved with rest, and the nurse observes the left leg is hairless and slightly edematous. The nurse recognizes this as which medical diagnosis or health problem?
Answer Choices:
A. Coronary artery disease (CAD)
B. Arterial embolus
C. Raynaud disease
D. Intermittent claudication
An emergency department nurse is assessing an adult woman for a suspected myocardial infarction (MI). When planning the assessment, the nurse should be aware that female patients may have which of the following symptoms for an MI? (SELECT ALL THAT APPLY)
Answer Choices:
A. Shortness of breath
B. Anxiety
C. Unusual fatigue
D. Back pain
E. Chest pain
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4
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