Age and race are nonmodifiable risk factors for heart

Age and race are nonmodifiable risk factors for heart disease.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 424, 427
OBJ: 6 (clinical) TOP: Modifiable Risk Factors
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
20.
The nurse is performing an initial assessment on a new patient with suspected right-sided
heart failure. Which finding(s) is/are consistent with the patient ’ s potential diagnosis? ( Select
all that apply. )

Signs and symptoms of right-sided CHF include fatigue, peripheral edema, gastrointestinal
congestion and abdominal distention, ascites with liver congestion, splenomegaly, and
dyspnea. Clammy skin and wheezing are symptoms of left-sided CHF.
PTS: 1 DIF: Cognitive Level: Application REF: 426, Table 19-2
OBJ: 1 (theory) TOP: Heart Failure Assessment
KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance
21.
The nurse in a skilled nursing facility is caring for an 80-year-old patient who develops a
productive cough with pink, frothy sputum. Which independent interventions should the nurse
implement immediately? ( Select all that apply. )
PTS: 1 DIF: Cognitive Level: Analysis REF: 429
OBJ: 5 (clinical) TOP: Acute Pulmonary Edema: Independent Nursing Interventions
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance