The nurse suspects a client is experiencing left-sided heart ...

[frankwu]

The nurse suspects a client is experiencing left-sided heart failure when which of the following is assessed? (Select all that apply.)
 
  1. Decreased basilar lung sounds
  2. Distended neck veins
  3. Extra heart sounds
  4. Lung crackles
  5. Tachycardia
  6. Weight gain

Question 2

A client is demonstrating signs of respiratory alkalosis. The nurse realizes that this alteration is least likely caused by which of the following?
 
  1. Diarrhea
  2. Fever
  3. Pain
  4. Severe anemia

[cswans24]

Answer to Question 1

1, 3, 4, 5
Signs of left-sided heart failure are dysrhythmic heart rate, tachycardia, heart murmurs, extra heart sounds, lung crackles, and decreased basilar lung sounds. Distended neck veins and weight gain are symptoms of right-sided heart failure.

Answer to Question 2

1
Diarrhea is a cause of metabolic acidosis. Causes of the respiratory alkalosis are hypoxia, increased minute ventilation, hyperventilation, pregnancy, fever, pain, and severe anemia.