Which of the following would be expected findings in a patient experiencing Right-sided heart failure? (Select all that Apply)
JVD
Crackles in the lungs
Pink, Frothy sputum
Paroxysmal nocturnal dyspnea
Pitting edema
Correct Answer : A,E
A. When the right ventricle is failing, blood can back up into the jugular veins in the neck, causing them to become swollen and visible.
B. Crackles in the lungs are a sign of fluid buildup in the lungs, which is a common finding in left-sided heart failure, but not typically in right-sided heart failure.
C. Pink, Frothy sputum: Pink, frothy sputum can be a sign of pulmonary edema, which is a buildup of fluid in the lungs. However, this is more commonly associated with left-sided heart failure than right- sided heart failure.
D. Paroxysmal nocturnal dyspnea (PND): PND is a symptom of heart failure that causes shortness of breath that occurs at night, often waking the person from sleep. It can occur in both right-sided and left- sided heart failure.
E. In right sided heart failure, fluid can also build up in the legs and ankles, causing swelling that is tender to the touch
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D","E"]
Explanation
A. Pink mucous membranes indicates adequate oxygenation, which is a positive sign.
B. SpO2 of 97% is a normal oxygen saturation level and does not indicate respiratory decline.
C. While wheezing is a common symptom of an asthma attack, it doesn't necessarily indicate worsening respiratory status. It can be present even in mild to moderate attacks.
D. Retraction of sternal muscles is a sign of severe respiratory distress, indicating that the patient is working extremely hard to breathe.
E. An increased heart rate can be a sign of the body trying to compensate for decreased oxygen levels, indicating worsening respiratory status.
Correct Answer is D
Explanation
Hypertensive crisis is diagnosed when a patient's systolic blood pressure (SBP) is greater than 180 mmHg or their diastolic blood pressure (DBP) is greater than 120 mmHg. This is a serious condition that requires immediate medical attention.
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