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WGU D115 EXAM LATEST UPDATE 2024/2025
NEW QUESTIONS &VERIFIED CORRECT
ANSWERS
WGU D115 EXAM
The most common causes of left-sided heart failure include >>
Acute Myocardial Infarction
Feedback >> The most common causes of left-sided heart failure are acute myocardial
infarction and hypertension. Acute or chronic pulmonary disease can cause right heart
failure, referred to as cor pulmonale. The causes of right-sided heart failure include
stenosis or regurgitation of the tricuspid or pulmonic valves, right ventricular infarction,
and cardiomyopathy. Manifestations (rather than causes) of heart failure reflect the
physiologic effects of the impaired pumping ability of the heart, including decreased
renal blood flow.
Assessment of an elderly female client reveals the presence of bilateral pitting
edema of the client's feet and ankles and pedal pulses that are difficult to
palpate. Auscultation of the client's lungs reveals clear air entry to bases, and the
client's oxygen saturation level is 93%, and vital signs are within reference ranges.
https://www.stuvia.com/user/Mboffin
, 2
What is this client's most likely health problem?
Right Sided Heart Failure
Feedback >> A major effect of right-sided heart failure is the development of
peripheral edema. A client who is in shock would not have stable vital signs. Cor
pulmonale would be accompanied by manifestations of lung disease. Pericarditis is an
inflammation of the pericardium exhibited by fever, precordial pain, dyspnea, and
palpitations.
https://www.stuvia.com/user/Mboffin
, 3
A client has been given the diagnosis of diffuse glomerulonephritis. They ask the
nurse practitioner what diffuse means. The nurse practitioner responds >>
All glomeruli and all parts of the glomeruli are involved
Feedback >> Glomerular changes can be diffuse, involving all glomeruli and all parts of
the glomeruli; focal, meaning only some of the glomeruli are affected; segmental,
involving only a certain segment of each glomerulus; and mesangial, affecting only
mesangial cells.
Which of the following assessment findings would lead the nurse practitioner to
suspect the client has nephrotic syndrome?
Proteinuria and generalized edema
Feedback >> The nephrotic syndrome is characterized by massive proteinuria and
lipiduria, along with an associated hypoalbuminemia, generalized edema, and
hyperlipidemia.
A client with a history of chronic pyelonephritis has been admitted several times
with recurrent bacterial infection of the urinary tract. The nurse practitioner
should anticipate educating this client with regard to which common treatment
regimen?
Continue taking antibiotics for full 10 to 14 days even if symptoms disappear
Feedback >> Chronic pyelonephritis involves a recurrent or persistent bacterial
infection superimposed on urinary tract obstruction, urine reflux, or both. Chronic
obstructive pyelonephritis can be bilateral, caused by conditions that obstruct bladder
outflow; or unilateral, such as occurs with ureteral obstruction. Cranberry juice, forced
micturition, and diuretics are not standard treatments for chronic pyelonephritis.
https://www.stuvia.com/user/Mboffin
WGU D115 EXAM LATEST UPDATE 2024/2025
NEW QUESTIONS &VERIFIED CORRECT
ANSWERS
WGU D115 EXAM
The most common causes of left-sided heart failure include >>
Acute Myocardial Infarction
Feedback >> The most common causes of left-sided heart failure are acute myocardial
infarction and hypertension. Acute or chronic pulmonary disease can cause right heart
failure, referred to as cor pulmonale. The causes of right-sided heart failure include
stenosis or regurgitation of the tricuspid or pulmonic valves, right ventricular infarction,
and cardiomyopathy. Manifestations (rather than causes) of heart failure reflect the
physiologic effects of the impaired pumping ability of the heart, including decreased
renal blood flow.
Assessment of an elderly female client reveals the presence of bilateral pitting
edema of the client's feet and ankles and pedal pulses that are difficult to
palpate. Auscultation of the client's lungs reveals clear air entry to bases, and the
client's oxygen saturation level is 93%, and vital signs are within reference ranges.
https://www.stuvia.com/user/Mboffin
, 2
What is this client's most likely health problem?
Right Sided Heart Failure
Feedback >> A major effect of right-sided heart failure is the development of
peripheral edema. A client who is in shock would not have stable vital signs. Cor
pulmonale would be accompanied by manifestations of lung disease. Pericarditis is an
inflammation of the pericardium exhibited by fever, precordial pain, dyspnea, and
palpitations.
https://www.stuvia.com/user/Mboffin
, 3
A client has been given the diagnosis of diffuse glomerulonephritis. They ask the
nurse practitioner what diffuse means. The nurse practitioner responds >>
All glomeruli and all parts of the glomeruli are involved
Feedback >> Glomerular changes can be diffuse, involving all glomeruli and all parts of
the glomeruli; focal, meaning only some of the glomeruli are affected; segmental,
involving only a certain segment of each glomerulus; and mesangial, affecting only
mesangial cells.
Which of the following assessment findings would lead the nurse practitioner to
suspect the client has nephrotic syndrome?
Proteinuria and generalized edema
Feedback >> The nephrotic syndrome is characterized by massive proteinuria and
lipiduria, along with an associated hypoalbuminemia, generalized edema, and
hyperlipidemia.
A client with a history of chronic pyelonephritis has been admitted several times
with recurrent bacterial infection of the urinary tract. The nurse practitioner
should anticipate educating this client with regard to which common treatment
regimen?
Continue taking antibiotics for full 10 to 14 days even if symptoms disappear
Feedback >> Chronic pyelonephritis involves a recurrent or persistent bacterial
infection superimposed on urinary tract obstruction, urine reflux, or both. Chronic
obstructive pyelonephritis can be bilateral, caused by conditions that obstruct bladder
outflow; or unilateral, such as occurs with ureteral obstruction. Cranberry juice, forced
micturition, and diuretics are not standard treatments for chronic pyelonephritis.
https://www.stuvia.com/user/Mboffin
