Practice Question
A nurse is caring for a client who has left-sided heart failure. Which of the following manifestations should the nurse expect?
Answer Choices:
Correct Answer:
Daytime oliguria
Rationale:
⫸ Left-sided heart failure results in decreased cardiac output, impairing renal perfusion, which leads to oliguria, particularly during the day.
⫸ At night, when the client lies flat, perfusion improves slightly, resulting in nocturia.
⫸ Other symptoms include
° Dyspnea,
° Orthopnea,
° Crackles,
° Fatigue,
⫸The symptoms stem from pulmonary congestion due to backward flow from the failing left ventricle.
⫸ Unlike right-sided heart failure, which causes systemic fluid retention (e.g., pedal edema, JVD), left-sided failure primarily affects the lungs and kidneys.
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This question is from RN Medical Surgical~2023 which contains 81 questions.
More Questions from This Exam
A nurse enters a client's room and observes the client having a tonic-clonic seizure. Which of the following actions should the nurse take first?
Answer Choices:
A. Turn the client on their side.
B. Perform a neurologic check.
C. Notify the rapid response team.
D. Obtain the client's vital signs.
A client who is deaf and communicates using sign language is being admitted by a nurse who does not know sign language. Which of the following actions should the nurse
Answer Choices:
A. Ask a family member to be present during the admission
B. Obtain a board that uses colored pictures as communication.
C. Familiarize themselves with commonly used signed language
D. Request an interpreter during the initial assessment.
A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation and asks about the purpose of maintaining an elastic bandage around the residual limb of the extremity. Which of the following is an appropriate response by the nurse?
Answer Choices:
A. "The elastic bandage will keep the sutures from loosening."
B. "The elastic bandage will prevent a postoperative wound infection."
C. "The elastic bandage will keep you from seeing the surgical site."
D. "The elastic bandage will prevent excessive edema."
A nurse is caring for a client who has acute heart failure and received morphine IV 30 min ago. Which of the following findings should the nurse identify as an indication that the medication was effective?
Answer Choices:
A. Decreased urinary output
B. Decreased anxiety
C. Emesis of 250 mL
D. Increased respiratory rate to 26/min
A nurse is assessing a client who has anorexia. Which of the following findings should the nurse identify as a manifestation of malnutrition?
Answer Choices:
A. Alopecia
B. Diplopia
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4