1. The nurse notes that a patient has developed a cough productive for mucoid sputum, is short
of breath, has cyanotic hands, and has noisy, moist sounding, and rapid breathing. These
symptoms indicate:
A) Pericarditis
B) Congestive heart failure (CHF)
C) Pulmonary edema
D) Right ventricular hypertrophy
Ans: : C
Chapter: 30
Client Needs: IV-3
Cognitive Categories: Application
Concepts and Processes: Nursing Process
Difficulty: Moderate
Objective: 2
Feedback: Pulmonary congestion, peripheries becoming cyanotic and cool, fatigue, an increase
in weight, activity intolerance, and a cough productive for mucoid sputum are associated with
pulmonary edema.
2. A patient with CHF is displaying symptoms such as dry hacking cough, fatigue, and a slight
increase in today's weight. The most appropriate position for the patient to be placed in is:
A) Supine
B) Low Fowler's
C) High Fowlers with feet dangling
D) Left lateral
Ans: : C
Chapter: 30
Client Needs: IV-3
Cognitive Categories: Application
Concepts and Processes: Nursing Process
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