Nclex practice questions HF, MI and angina with correct answers
Nclex practice questions HF, MI and angina with correct answers 1. The client is admitted to the telemetry unit diag- nosed with left-sided heart failure. Which clinical manifestations would the nurse expect to find when assessing this client? 1. Apical pulse rate of 110 and crackles on auscultation. 2. Jugular vein distention and 4+ pitting edema of feet. 3. The client sleeping with no pillow and eupnea. 4. Radial pulse rate of 90 and CRT less than 3 seconds. - ANS ️️ 1. The client diagnosed with left-sided heart failure would exhibit tachycardia (apical pulse rate of 110), shortness of breath, crackles on auscultation, fatigue, third heart sounds, and change in mental status. 2. The nurse is developing a nursing care plan for a client diagnosed with left-sided heart failure. A nursing diagnosis of "decreased cardiac output related to the inability of the heart to pump effec- tively" is written. Which short-term goal would be best for the client? 1. The client will be able to ambulate in the hall by date of discharge. 2. The client will have an audible S1 and S2 with no S3, heard by the end of shift. 3. The client will turn, cough, and deep breathe every 2 hours. 4. The client will have a Sao, reading of 98% by day 2 of care. - ANS ️️ 2. Audible S1, and S2 sounds are normal for a heart with adequate output. An audible S3, sound might indicate left ventricular failure, which could be life-threatening. 3. The nurse is developing a discharge-teaching plan for the client diagnosed with heart failure. W
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- Institution
- Angina & MI NCLEX
- Course
- Angina & MI NCLEX
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- December 17, 2023
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nclex practice questions hf mi and angina
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