A patient presents with an acute myocardial infarction that ...

[viki]

A patient presents with an acute myocardial infarction that resulted in right ventricular damage. The nurse needs to assess the patient for right-sided heart failure, which includes which of the following?
 
  a. Crackles on auscultation
  b. Jugular neck vein distention
  c. Increased myocardial perfusion
  d. Orthopnea

Question 2

A nurse is using a mechanical lift to assist a client with limited mobility. Which client will benefit the most from a mechanical lift?
 
  A) An agitated client
  B) A frail client
  C) A heavy client
  D) A pregnant client

[Chou]

Answer to Question 1

B
Right-sided heart failure causes distended jugular veins and peripheral edema. Right-sided heart failure results from impaired functioning of the right ventricle, which is typically caused by pulmonary disease or pulmonary hypertension. An increase in pressure in the pulmonary system causes increased resistance in the right ventricle. The right ventricle fails as a result of this pres-sure. Left-sided heart failure results in crackles on auscultation and patient complaints of fatigue, dyspnea, and orthopnea. Increased myocardial perfusion does not occur.

Answer to Question 2

C
Feedback:
A mechanical lift is best for heavy clients or those with limited mobility. A mechanical lift or repositioning sling is recommended when major repositioning is required.

[viki]

TYSM

[sultana.d]

Excellent