Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A. Unable to lie flat
Unable to lie flat due to orthopnea is a sign of worsening heart failure.
B. Feeling fatigued
Feeling fatigued is a general symptom of heart failure but can worsen as heart failure progresses.
C. Distended neck veins
Distended neck veins indicate increased central venous pressure, which is a sign of worsening right-sided heart failure.
D. Increased appetite
Increased appetite is not typically associated with worsening heart failure.
E. Weight gain 2 in 24hours
Weight gain of 2 pounds in 24 hours indicates fluid retention and worsening heart failure.
F. Worsening Lower extremity edema
Worsening lower extremity edema is a sign of worsening heart failure.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Rn Nsg 232 Proctored Exam Med Surg. Take the full exam now
Full Explanation
Rationale:
A. Unable to lie flat due to orthopnea is a sign of worsening heart failure.
B. Feeling fatigued is a general symptom of heart failure but can worsen as heart failure progresses.
C. Distended neck veins indicate increased central venous pressure, which is a sign of worsening right-sided heart failure.
D. Increased appetite is not typically associated with worsening heart failure.
E. Weight gain of 2 pounds in 24 hours indicates fluid retention and worsening heart failure.
F. Worsening lower extremity edema is a sign of worsening heart failure.
Similar Questions
A nurse is caring for a client who is complaining of dyspnea, dizziness, palpitations, and rapid heart rate. ECG shows a narrow complex tachy dysrhythmia with a rate of 188, Supraventricular Tachycardia (SVT) The nurse is aware that this rapid arrhythmia is best treated with which of the following medications?
A. Epinephrine
Epinephrine is not typically used to treat supraventricular tachycardia (SVT).
B. Atropine
Atropine is not typically used to treat supraventricular tachycardia (SVT).
C. Adenosine
Adenosine is the medication of choice for terminating supraventricular tachycardia (SVT).
D. Lidocaine
Lidocaine is not typically used to treat supraventricular tachycardia (SVT).
Full Explanation
Rationale:
A. Epinephrine is not typically used to treat supraventricular tachycardia (SVT).
B. Atropine is not typically used to treat supraventricular tachycardia (SVT).
C. Adenosine is the medication of choice for terminating supraventricular tachycardia (SVT).
D. Lidocaine is not typically used to treat supraventricular tachycardia (SVT).
A nurse is caring for a client with heart failure (HF) and preparing to give a daily dose of Digoxin (Lanoxin). The nurse understands the rationale for giving this medication for HF is which of the following?
A. Lanoxin increases the heart rate
Lanoxin does not typically increase heart rate significantly.
B. Lanoxin increases the force of cardiac contractions
Digoxin (Lanoxin) is a positive inotropic agent, meaning it increases the force of cardiac contractions.
C. Lanoxin order should be questioned in this diagnosis.
Lanoxin is commonly used in the treatment of heart failure.
D. Lanoxin decreases the force of cardiac contractions
Lanoxin does not decrease the force of cardiac contractions.
Full Explanation
Rationale:
A. Lanoxin does not typically increase heart rate significantly.
B. Digoxin (Lanoxin) is a positive inotropic agent, meaning it increases the force of cardiac contractions.
C. Lanoxin is commonly used in the treatment of heart failure.
D. Lanoxin does not decrease the force of cardiac contractions.
A nurse is providing teaching to a client who has a permanent pacemaker and has just had the initial pacemaker check. Which of the following client statements indicates to the nurse that the teaching was effective?
A. "The next pacemaker check will be when the batteries need to be replaced."
Regular pacemaker checks are scheduled periodically, not only when the battery needs replacement.
B. "My pacemaker will need reprogramming if I stand too close to a microwave oven."
Modern pacemakers are well-shielded and are not affected by household microwaves.
C. "I will take my pulse weekly."
Clients should check their pulse daily to ensure proper pacemaker function, not just weekly.
D. "The pacemaker can be checked from home by using the telephone."
Many pacemakers can be checked remotely using telephone or wireless technology, allowing for convenient monitoring.
Full Explanation
A. Regular pacemaker checks are scheduled periodically, not only when the battery needs replacement.
B. Modern pacemakers are well-shielded and are not affected by household microwaves.
C. Clients should check their pulse daily to ensure proper pacemaker function, not just weekly.
D. Many pacemakers can be checked remotely using telephone or wireless technology, allowing for convenient monitoring.