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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Quickly removing the family members may add to their distress and does not respect their right to decide.

B. Telling them it will be stressful assumes their reaction without giving them a choice.

C. Allowing the family members to choose whether to stay respects their autonomy and can provide comfort during a difficult time. It is also in line with current best practices for family presence during resuscitation.

D. Assigning a staff member to wait outside is appropriate but should be done after offering the family the option to stay in the room.

A. Radial B. Carotid C. Apical D. Popliteal

Correct Answer is B

Explanation

A. The radial pulse is not as reliable as the carotid pulse in assessing circulation during CPR.

B. The carotid pulse is the most reliable site to assess circulation in an adult during CPR because it is closest to the heart and will reflect the true status of central circulation.

C. The apical pulse is not typically assessed during CPR due to its location and difficulty in palpation.

D. The popliteal pulse is not a recommended site for assessing circulation during CPR.

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Which clinical manifestations are indicative of right ventricular failure? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While close family members are visiting, a patient has a respiratory arrest, and resuscitation is started. Which action by the nurse is best?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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