Author Question: An older adult client is diagnosed with dilated cardiomyopathy. Which clinical manifestations does ... (Read 60 times)

ARLKQ · **on:** Jun 25, 2018

An older adult client is diagnosed with dilated cardiomyopathy. Which clinical manifestations does the nurse anticipate during the physical assessment? Select all that apply.

A) Fatigue
B) Lower extremity edema
C) Syncope
D) Dyspnea
E) Jugular vein distention

Question 2

The nurse is caring for a client with hypertension. When planning care for this client, the nurse knows that blood pressure is influenced by all but which factor?

A) Pumping action of the heart
B) Peripheral vascular resistance
C) Heart rate
D) Blood volume

aloop · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A, B, D, E

Clinical manifestations of dilated cardiomyopathy include fatigue, lower extremity edema, shortness of breath or dyspnea, and jugular vein distention. Disorders of the heart valve, arrhythmias, and blood clots may occur with disease progression. Syncope is not a manifestation of dilated cardiomyopathy.

Answer to Question 2

Answer: C

The factors which determine blood pressure include the pumping action of the heart; peripheral vascular resistance; and blood volume and viscosity. Heart rate by itself does not determine blood pressure.