Which clinical manifestations are indicative of right ventricular failure? (Select all that apply.)
Crackles upon auscultation of the lungs
Hepatomegaly
Jugular venous distention
Orthopnea
Peripheral edema
Correct Answer : B,C,E
A. Crackles are more commonly associated with left ventricular failure, which leads to pulmonary congestion.
B. Hepatomegaly, or an enlarged liver, is a sign of right ventricular failure due to blood backing up in the systemic circulation.
C. Jugular venous distention is a classic sign of right ventricular failure as blood accumulates in the venous system.
D. Orthopnea, or difficulty breathing while lying down, is more indicative of left ventricular failure.
E. Peripheral edema is a hallmark of right ventricular failure, resulting from increased venous pressure.
Nursing Test Bank
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Related Questions
Correct Answer is D
Explanation
A. This response is dismissive of the patient's concerns and does not address the underlying issue of the patient's misunderstanding of cardiac rehabilitation.
B. This response defers to the physician without providing the patient with helpful information.
C. While true, this statement does not address the patient’s concern about the irreversibility of heart damage.
D. This response directly addresses the patient’s concern by explaining the purpose of cardiac rehabilitation, which is to safely increase activity levels and improve overall heart health, even though the heart damage cannot be undone.
Correct Answer is D
Explanation
A. An electrophysiology study assesses the electrical activity of the heart but does not evaluate heart function or chamber size.
B. A 12-lead electrocardiogram records the electrical activity of the heart but does not provide detailed information on heart function or chamber size.
C. Cardiac catheterization is an invasive procedure used to assess coronary artery disease and other structural heart conditions but is not the primary study for evaluating heart function and chamber size.
D. An echocardiogram is a non-invasive ultrasound that provides detailed images of the heart, including its function, chamber size, and valve function, making it the best choice for this purpose.
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