The nurse is caring for a client with left ventricular heart failure. Which one of the following assessments is an early indication of inadequate oxygen transport?

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Question 1 of 5

The nurse is caring for a client with left ventricular heart failure. Which one of the following assessments is an early indication of inadequate oxygen transport?

Correct Answer: B

Rationale: Confusion and restlessness signal early cerebral hypoxia in heart failure.

Question 2 of 5

The nurse is planning care for a client with increased intracranial pressure. The best position for this client is

Correct Answer: C

Rationale: Semi-Fowler's (head elevated 30°) reduces ICP by aiding venous drainage.

Question 3 of 5

A client is admitted with the diagnosis of myocardial infarction (MI). Which of the following lab values would be consistent with this diagnosis

Correct Answer: D

Rationale: Elevated CPK (especially CK-MB) indicates myocardial damage in MI.

Question 4 of 5

During the admission assessment on a client with chronic bilateral glaucoma, which statement by the client would the nurse anticipate since it is associated with this problem?

Correct Answer: C

Rationale: Glaucoma causes peripheral vision loss, requiring head turning to compensate.

Question 5 of 5

A client is scheduled for an Intravenous Pyelogram (IVP). In order to prepare the client for this test, the nurse would

Correct Answer: C

Rationale: A laxative clears the bowel for better visualization during IVP.

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