During a visit to a 78-yr-old patient with chronic heart failure, the home care nurse finds that the patient has ankle edema, a 2-kg weight gain over the past 2 days, and complains of 'feeling too tired to get out of bed.' Based on these data, a correct nursing diagnosis for the patient is

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Question 1 of 5

During a visit to a 78-yr-old patient with chronic heart failure, the home care nurse finds that the patient has ankle edema, a 2-kg weight gain over the past 2 days, and complains of 'feeling too tired to get out of bed.' Based on these data, a correct nursing diagnosis for the patient is

Correct Answer: A

Rationale: The patient's statement supports the diagnosis of activity intolerance. There are no data to support the other diagnoses, although the nurse will need to assess for additional patient problems.

Question 2 of 5

Which of the following is true about arteries?

Correct Answer: D

Rationale: Arteries rely on the heart's pumping action for blood flow; they have elastic walls, no valves, and don't always carry oxygenated blood (e.g., pulmonary artery).

Question 3 of 5

When recording lead I on an ECG, the right arm is the negative electrode, and the positive electrode is:

Correct Answer: A

Rationale: In lead I, the right arm is negative, and the left arm is positive, measuring the potential difference across the arms.

Question 4 of 5

A 30-year-old man has an ejection fraction of 0.25 and an end systolic volume of 150 ml. What is his end-diastolic volume?

Correct Answer: D

Rationale: Ejection fraction = SV/EDV; SV = EDV - ESV. Given EF = 0.25 and ESV = 150 ml, SV = 50 ml, so EDV = 200 ml.

Question 5 of 5

Venous return is determined by:

Correct Answer: D

Rationale: All listed factors—blood volume, venous capacity, and muscle activity—affect venous return.

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