Which clinical manifestations would you assess for in a painter with pulmonary hypertension?
(Select All that Apply.)

Jugular vein distention

Peripheral edema

Ronchi bilaterally

Dyspnea on exertion

Systemic blood pressure greater than 130/90 mm HG

Answer and Explanation

Correct Answer : A,B,D

A. Jugular vein distention: Pulmonary hypertension increases right ventricular afterload, leading to right heart failure. As the right ventricle struggles to pump against elevated pulmonary pressures, blood backs up into the systemic circulation, causing jugular vein distention (JVD).

B. Peripheral edema: Right-sided heart failure due to pulmonary hypertension leads to venous congestion and fluid retention, resulting in peripheral edema. Swelling is commonly observed in the lower extremities due to increased venous hydrostatic pressure.

C. Ronchi bilaterally: Rhonchi are low-pitched breath sounds typically associated with airway obstruction due to secretions, commonly seen in conditions like chronic bronchitis or pneumonia. Pulmonary hypertension primarily affects the pulmonary vasculature rather than the airways, making rhonchi an unlikely manifestation.

D. Dyspnea on exertion: Pulmonary hypertension increases pressure in the pulmonary arteries, reducing oxygen exchange and causing exertional dyspnea. This symptom is often one of the earliest clinical manifestations as increased pulmonary vascular resistance impairs oxygen delivery.

E. Systemic blood pressure greater than 130/90 mm Hg: Pulmonary hypertension specifically affects the pulmonary circulation, not systemic arterial pressure. While pulmonary hypertension can eventually contribute to left heart dysfunction, it does not directly cause systemic hypertension.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Dilated: Dilated cardiomyopathy is characterized by an enlarged heart with decreased contractility and thinning of the ventricular walls. It does not involve disproportionate thickening of the interventricular septum.

B. Dystrophic: Dystrophic cardiomyopathy refers to muscle degeneration due to underlying muscular dystrophies. It does not specifically describe the thickening of the interventricular septum and is not a primary classification of cardiomyopathy.

C. Hypertrophic: Hypertrophic cardiomyopathy is marked by a disproportionate thickening of the interventricular septum, leading to impaired diastolic filling and potential obstruction of blood flow out of the left ventricle. This characteristic thickening is a hallmark of this condition.

D. Restrictive: Restrictive cardiomyopathy involves stiffening of the heart muscle, which impairs filling during diastole but does not specifically feature disproportionate thickening of the interventricular septum. Instead, it may present with normal or slightly thickened walls but with decreased compliance.

A. Deep vein thrombosis B. Valvular regurgitation C. Varicose veins D. Intermittent claudication

Correct Answer is D

Explanation

A. Deep vein thrombosis: Deep vein thrombosis (DVT) typically presents with swelling, pain, and tenderness in a specific area of the leg. It does not specifically cause pain that resolves with rest after walking, making it less likely in Mr. Jones's case.

B. Valvular regurgitation: Valvular regurgitation refers to the backward flow of blood due to improper closure of heart valves. This condition primarily affects cardiac function and is not associated with pain in the legs that resolves with rest, which does not correlate with Mr. Jones's symptoms.

C. Varicose veins: Varicose veins can cause discomfort, swelling, and aching in the legs but are not typically characterized by pain that is specifically triggered by walking and resolves with rest. The symptoms of varicose veins usually occur with prolonged standing or sitting rather than exertion.

D. Intermittent claudication: Intermittent claudication is a common symptom of peripheral artery disease (PAD), characterized by muscle pain or cramping in the legs during physical activity, such as walking, that resolves with rest. Mr. Jones's description of pain that occurs while walking and subsides upon stopping aligns with this condition, making it the most appropriate explanation for his symptoms.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which clinical manifestations would you assess for in a painter with pulmonary hypertension? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A disproportionate thickening of the interventricular septum is the hallmark of which form of cardiomyopathy?

Correct Answer is C

Explanation

Mr. Jones tells you that he really has a lot of pain when he walks, and it is very painful but as soon as he stops walking, the pain resides. Mr. Jones does have a history of peripheral artery disease. What is going on with Mr. Jones?

Correct Answer is D

Explanation

A fellow student asks you to explain how tuberculosis (TB) can remain dormant in some people. What explanation will you give?

A person wishes to reduce the risk of developing coronary artery disease. This person has normal lipid panel. What risk factor reduction would the healthcare professional advise for this person?

Around three weeks after razing an old chicken house, a 71 year-old retired farmer has developed a fever, nausea and vomiting. After ruling out more common health problems, his care provider eventually made a diagnosis of histoplasmosis. Which physiological process is most likely taking place?

Thinking about aneurysms and atherosclerosis, what effect does atherosclerosis have on the development of an aneurysm?

A patient has been diagnosed with acute respiratory distress syndrome (ARDS). For what other health condition should the healthcare professional assess this patient for as the priority?

A pneumonia that occurs 48 hours or more after admission to the hospital is considered:

Upon admission to the ICU, a client with a history of cor pulmonale will likely be exhibiting which clinical manifestations of right-sided heart failure? Select all that apply. (Select All that Apply.)

Which of the following are NOT typical signs and symptoms of pericarditis? (Select-all-that-apply) (Select All that Apply.)

Which clinical manifestations would you assess for in a painter with pulmonary hypertension?
(Select All that Apply.)