NCLEX^® QUESTION OF THE WEEK

Question of the Week – November 30, 2022

November 30, 2022

The nurse is collecting cardiovascular data on a client. Which item should the nurse check to obtain the best information about the client’s left-sided heart function?

Show Answer Answer

Correct! The answer is number 1

Rationale:

Answer: 1

Rationale: The client with heart failure may present different symptoms depending on whether the right or the left side of the heart is failing. Checking breath sounds provides information about left-sided heart function. Peripheral edema, hepatojugular reflux, and jugular vein distention are all signs of right-sided heart function.

Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Data Collection
Content Area: Health Assessment/Physical exam: Heart and Peripheral Vascular
Health Problem: N/A

Practice Question Sourced From: Saunders Q & A Review for the NCLEX-PN® Examination Elsevier eBook on VitalSource, 5th Edition