Which finding indicates right-sided heart failure?
Answer and explanation
Correct answer: B. Peripheral edema and jugular vein distention
- Step 1: Right-sided failure causes blood to back up in the systemic veins. Step 2. The result is edema, distended neck veins and an enlarged liver. Answer: peripheral edema and jugular distention. Why not the others: these point to left-sided failure and pulmonary congestion.
Practise more Clinical Care Across the Life Span.
Free questions with an explanation for every one, and full timed NCLEX-RN (National Council Licensure Examination for Registered Nurses) mock tests.
More Clinical Care Across the Life Span questions
- A client with suspected myocardial infarction has these prescribed items. Which should the nurse give first?
- What oxygen flow rate is generally safe for a client with chronic obstructive pulmonary disease who retains carbon dioxide?
- Which medication is the first-choice rescue drug for an acute asthma attack?
- A client has a chest tube. The nurse sees continuous bubbling in the water-seal chamber. What does this indicate?
- A client with diabetes is sweating and shaky, and the blood glucose is 52 mg/dL. The client is alert. What should the nurse do first?
- A client has fruity breath, deep rapid breathing and a blood glucose of 480 mg/dL. Which condition is this?