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Extract:

One of the following is not a symptom of the patient with right sided heart failure:


Question 1 of 5

Weight gain

Correct Answer: C

Rationale: Right-sided heart failure causes jugular vein distension, not flattened neck veins.

Extract:


Question 2 of 5

The nurse is to obtain an apical-radial pulse on a client. Which statement is true regarding obtaining an apical-radial pulse?

Correct Answer: C

Rationale: Apical-radial pulse requires simultaneous measurement by two people to detect a pulse deficit, ensuring accuracy in conditions like atrial fibrillation.

Question 3 of 5

The CVP reading of a client with partial thickness burns is 6 mm H2O. The nurse recognizes that the client:

Correct Answer: B

Rationale: A central venous pressure (CVP) reading of 6 mm H2O is within the normal range (2-8 mm H2O), indicating adequate fluid status. Answer A is incorrect because the client does not need additional fluids. Answer C is incorrect because a CVP of 6 does not suggest congestive failure. Answer D is incorrect because a diuretic is not indicated with a normal CVP.

Question 4 of 5

A 9-year old is admitted with suspected rheumatic fever. Which finding is suggestive of Sydenham's chorea?

Correct Answer: A

Rationale: Sydenham's chorea, a manifestation—of rheumatic fever, causes irregular movements and facial grimacing. Other options describe rheumatoid arthritis or other conditions.

Question 5 of 5

A client complains of pain and itching from herpes zoster. Which of the following provides temporary relief?

Correct Answer: B

Rationale: Blowing cool air can soothe the pain and itching of herpes zoster by reducing skin irritation without exacerbating the condition.

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