Listen.
A patient presents with silent ischemia.
Which assessment finding is typical with this condition?

Choice A rationale:

Pain and edema in the affected limb are typical assessment findings of deep vein thrombosis (DVT) in the lower leg. This is due to the obstruction of blood flow by the thrombus, which leads to swelling and discomfort in the affected limb.

Choice B rationale:

Muscle paralysis and paresthesia are not typical assessment findings of DVT in the lower leg. DVT is more commonly associated with pain and swelling, rather than muscle paralysis or paresthesia.

Choice C rationale:

Reduced pulses in the foot may occur in severe cases of DVT, but it is not one of the primary and typical assessment findings. Pain and edema are more common and reliable indicators of DVT.

Choice D rationale:

Choice A rationale:

Systolic heart failure results in increased left ventricular preload. In systolic heart failure, the heart's ability to contract and eject blood effectively is impaired. This leads to decreased ejection fraction, which means that a significant amount of blood is left in the left ventricle at the end of systole. This increased volume of blood in the left ventricle during diastole is referred to as "preload.”. The increased preload is a compensatory mechanism that the heart uses to maintain cardiac output. However, over time, this increased preload can lead to symptoms of congestion and fluid overload.

Choice B rationale:

Systolic heart failure is characterized by decreased ejection fraction, not increased. Ejection fraction is a measure of the percentage of blood ejected from the left ventricle with each heartbeat. In systolic heart failure, this percentage is reduced.

Choice C rationale:

Systolic heart failure does not directly affect right ventricular preload. Right ventricular preload is more related to conditions that affect the right side of the heart, such as pulmonary hypertension.

Choice D rationale:

Systolic heart failure does not necessarily result in decreased right ventricular end-diastolic pressure. Right ventricular end-diastolic pressure can be influenced by a variety of factors, and its alteration is not a specific hallmark of systolic heart failure.