Question

The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure. Which S/S would the nurse expect to find when assessing this client? a. apical pulse rate of 110 and 4+ piting edema of feet b. thick white sputum and crackles that clear with cough c. the client sleeping with no pillow and eupnea d. radial pulse rate of 90 and capillary refill time
A. The client with CHF would exhibit tachycardia (apical pulse rate of 110), dependent edema, fatigue, third heart sounds, lung congestion, and change in mental status.

Answer 1

The question is incorrect. The correct question is as follows:

The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure. Which S/S would the nurse expect to find when assessing this client? a. apical pulse rate of 110 and 4+ piting edema of feet b. thick white sputum and crackles that clear with cough c. the client sleeping with no pillow and eupnea d. radial pulse rate of 90 and capillary refill time

Answer:

Apical pulse rate of 110 and 4 pitting edema of feet.

Explanation:

Congestive heart failure may be defined as the medical condition in which the pumping ability of the heart becomes abnormal. This might occur due to the accumulation of fluids in the heart.

The most common sign and symptoms of congestive heart failure is the increase in the apical pulse rate of around 110. The individual might suffer from different heart sounds, require two pillows for sleep and deposition of body fluids.

Thus, the correct answer is option (a).

Answer 2

Answer:

The correct answer is - option a.

Explanation:

CHF exacerbation is a clinical case that is symptoms that include fatigue, orthopnea, paroxysmal nocturnal dyspnea, weight gain, and increasing girt. It is the case of the heart failure.

Apical pulse rate in such condition is 110 is the major characteristic and also categorized by the 4+ piting edema of feet.

Thus, the correct answer is - option A.