In a client with chronic bronchitis, which sign would lead the nurse to suspect right-sided heart failure?

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Question 1 of 5

In a client with chronic bronchitis, which sign would lead the nurse to suspect right-sided heart failure?

Correct Answer: D

Rationale: Leg edema (D) indicates right-sided heart failure due to venous congestion from impaired right heart pumping, common in chronic bronchitis (cor pulmonale). Cyanosis (A) and crackles (B) are more pulmonary, and cough (C) is typical of bronchitis.

Question 2 of 5

A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?

Correct Answer: C

Rationale: High Fowler’s with knees flexed (C) reduces venous pooling and pain in sickle cell crisis by promoting circulation and comfort. Other positions (A, B, D) are less effective.

Question 3 of 5

Cystic fibrosis is diagnosed by ....

Correct Answer: B

Rationale: The sweat test (B) diagnoses cystic fibrosis by detecting elevated chloride levels, a hallmark of the disease.

Question 4 of 5

Lactation provides contraception for

Correct Answer: C

Rationale: Lactation amenorrhea provides contraception for up to 90 days (C) postpartum if breastfeeding is exclusive, delaying ovulation.

Question 5 of 5

The nurse is caring for a client who had a total hip replacement 24 hours ago. Which action should the nurse take to prevent dislocation of the prosthesis?

Correct Answer: B

Rationale: Keeping the affected leg in a neutral position (B) prevents hip dislocation post-replacement. Sitting (A) or lying flat (D) risks adduction, and active ROM (C) is too early.

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