An 84-year-old male is returning from the operating room (OR) after inguinal hernia repair. The nurse notes that he has fluid volume excess from the operation and is at risk for left-sided heart failure. Which of the following signs and symptoms indicates left-sided heart failure?*1 pointa. Jugular vein distentionb. Right upper quadrant painc. Bibasilar fine cracklesd. Dependent edema

Which of the following clinical signs suggests left ventricular failure?I. Pedal edemaII. Bibasal crackles from pulmonary edemaIII. Finger clubbingIV. Thoracic hyperexpansion

Mr. Jacob is admitted due to congestive heart failure. Nurse Lydia would expect that if the failure is on the right side of the heart, the patient will manifest which of the following?*1 pointa. Jugular vein distention.b. Crackles on auscultation.c. Dry productive cough.d. Orthopnea.

Which of the following are the manifestations consistent with a patient with right-sided heart failure?*1 pointA. Peripheral edemaB. HemoptysisC. Pulmonary edemaD. Crackles, on auscultation201. Which of the following teaching of the nurse indicates that they have an adequate knowledge on teachings regarding increasing the chance of conception?*1 pointA. Use a female-dominated sex positionB. If you are unable to conceive within six months, you are considered as subfertileC. There is no diet recommendations to increase the chance of conceptionD. The optimal frequency of having sex is not everyday but every other day.202. Which of the following is false regarding primitive or fetal circulation?*1 pointA. The foramen ovale is the opening between the right and left atria, bypassing the lungsB. Two umbilical arteries carries oxygenated blood towards the fetus while one umbilical vein carry deoxygenated blood.C. The ductus arteriosus connects the pulmonary artery to the aorta in order to bypass the lungsD. The ductus venosus connects the umbilical vein to the inferior vena cava, bypassing the liver203. When can a stethoscope be optimally used to monitor the fetal heart rate of a fetus?*1 pointA. 6 to 8 weeksB. 10 to 12 weeksC. 16 weeksD. 20 weeks204. At 6 weeks age of gestation, the gestational sac can already be seen via the ultrasound. However, the nurse should instruct the pregnant woman to come back to the clinic after how many weeks to ascertain pregnancy?*1 pointA. 1 week afterB. 2 weeks afterC. 3 weeks afterD. 4 weeks after205. The nurse provides a health education session stating that the age of viability of a fetus is round 20 to 24 weeks. What must they answer if asked as to the reason why?*1 pointA. At this stage, surfactant is already presentB. At this stage, the lungs are fully developed.C. At this stage, the placenta is fully developed.D. At this stage, the vernix caseosa and lanugo have already started to form.206. Which of the following characteristics of the cervical mucus indicate that the woman is least likely to get pregnant?*1 pointA. Thickness like an egg whiteB. OpaqueC. Sticks between fingersD. Consistency like water207. A woman who you are teaching about family planning method asked you about what is the reason why there are different colors on the cycle beads. What is your appropriate response?*1 pointA. The brown beads signify infertile daysB. The white beads signify infertile daysC. The red beads signify infertile daysD. The colors of the beads are not important. What’s important are the days.208. Which of the following advices by the nurse is incorrect regarding the use of combined oral contraceptives?*1 pointA. The pill should be taken at the same time each dayB. If taking the pill in the postpartum period, start taking on the Sunday closest to the 2nd or 3rd week postpartumC. Oral contraceptives are not effective for the first 3 days. Use a secondary/backup method during these days.D. The last 7 pills of the oral contraceptives are placebo pills which can be discarded if wished.209. Which is the rationale as to why an intrauterine device is able to decrease a sperm’s motility?*1 pointA. The presence of a foreign object in the form of the IUDB. The prongs of the IUDC. The string of the IUDD. The copper of the IUD

Which clinical manifestation indicates the development of right-sided heart failure in a client with COPD?*1 pointa. Increased barrel chestb. Diminished heart soundsc. Dependent ankle edemad. Pink, frothy sputum

A 45-year-old woman presented with exertional dyspnea. Fourteen years earlier the patient was diagnosed with arterial hypertension with a blood pressure of 170/105 mm Hg. Her blood pressure at presentation was 155/95 mm Hg. Physical examination was remarkable for lower-extremity edema, and abdominal enlargement due to ascites. Transthoracic echocardiogram showed left ventricular ejection fraction of 28% (reference range: 50-57%). Which of the following is the patterns of cardiac failure seen in this patient?