a nurse is caring for a client who has left sided heart failure which of the following findings should the nurse expect a nurse is caring for a client who has left sided heart failure which of the following findings should the nurse expect
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ATI Exit Exam 180 Questions Quizlet

1. A nurse is caring for a client who has left-sided heart failure. Which of the following findings should the nurse expect?

Correct answer: C

Rationale: Jugular vein distention is a classic sign of left-sided heart failure due to fluid overload in the pulmonary circulation. This occurs because the heart's left side is unable to pump effectively, causing increased pressure in the pulmonary veins and leading to blood backing up into the pulmonary circulation. Peripheral edema (choice A) and dependent edema (choice D) are more commonly associated with right-sided heart failure where blood pools in the systemic circulation, causing swelling in the extremities. Bradycardia (choice B) is not typically a direct consequence of left-sided heart failure; instead, tachycardia is more commonly seen as the heart compensates for its reduced efficiency.

2. In the management process, the periodic checking of the results of action to make sure that it coincides with the goal of the institution is termed as:

Correct answer: B

Rationale: The correct answer is B: Evaluating. Evaluating involves the periodic checking of results to ensure they align with the institution's goals. Planning (choice A) is about setting goals and determining the actions required to achieve them. Directing (choice C) involves overseeing and guiding the activities of individuals or teams to accomplish goals. Organizing (choice D) is about arranging resources and tasks to achieve objectives. In the context of the management process described, evaluating best fits the action of checking results against goals.

3. Albert has brown eyes, even though one of his biological parents has blue eyes. Genes for blue eyes are part of Albert's ___.

Correct answer: C

Rationale: Albert's genotype refers to the genetic makeup inherited from his parents, which includes the genes for blue eyes. The phenotype, on the other hand, is the observable trait, in this case, brown eyes. Therefore, the correct answer is C. Choice A (Phenotype) is incorrect as it refers to the observable characteristics, not the genetic information. Choice B (Zygote) is incorrect as it refers to the initial stage of a developing organism. Choice D (Environment) is incorrect as it does not directly determine eye color.

4. How should signs of infection in a post-surgical patient be assessed?

Correct answer: A

Rationale: Assessing the surgical site is crucial in identifying early signs of infection post-surgery. Changes such as redness, swelling, warmth, or drainage may indicate an infection developing. While monitoring vital signs and fever are important in infection assessment, they are general indicators and may not show localized signs at the surgical site. Checking for abnormal breath sounds is more relevant when assessing respiratory issues rather than infection at the surgical site.

5. During times of staff and financial shortage, which method is the best and most effective?

Correct answer: D

Rationale: During times of staff and financial shortage, the Modular Method is considered the best and most effective. This method allows for flexibility and adaptability in assigning tasks and responsibilities, making it easier to cope with limited resources. Functional Method (Choice A) focuses on the division of labor based on each staff member's skills, which may not be the most efficient during shortages. Primary Nursing (Choice B) and Team Nursing (Choice C) may require a more significant number of staff, making them less suitable during shortages.

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