Author Question: A client experiencing acute congestive heart failure (CHF) is likely to present with which of the ... (Read 50 times)

cartlidgeashley · **on:** Jul 23, 2018

A client experiencing acute congestive heart failure (CHF) is likely to present with which of the following clinical signs? (Select all that apply.)

1. Flat neck veins
2. Bilateral crackles
3. +2 ankle edema bilaterally
4. Urine output of 790 mL in 24 hours
5. History of a 5-pound weight gain in 3 days
6. Systemic blood pressure 15 mm Hg above usual baseline

Question 2

A client experiencing diabetic ketoacidosis is likely to present with which of the following clini-cal signs? (Select all that apply.)

1. Red, flushed skin
2. Verbally aggressive
3. Complaints of dry mouth
4. Crackles in both lung fields
5. Oral temperature of 102.8 F
6. Requiring frequent linen changes

sarah_brady415 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 2, 3, 5, 6
Physical examination of a client experiencing CHF may reveal rapid weight gain, edema (espe-cially in dependent areas), hypertension, polyuria (if renal mechanisms are normal), neck vein distention, increased blood and venous pressure, crackles in lungs, and confusion. The remaining options are not reflective of CHF.

Answer to Question 2

ANS: 1, 2, 3, 5, 6
Physical examination of a client experiencing diabetic ketoacidosis may reveal dry and sticky mucous membranes, flushed and dry skin, thirst, elevated body temperature, irritability, convul-sions, and coma. The remaining option is not reflective of diabetic ketoacidosis.