Author Question: The nurse is caring for a chronic heart failure patient with left-sided failure. Which documentation ... (Read 175 times)

wrbasek0

  • Hero Member
  • *****
  • Posts: 560
The nurse is caring for a chronic heart failure patient with left-sided failure. Which documentation should the nurse expect to see in the medical record after this patient has a cardiac catheterization?
 
  1. Pressures in the left ventricle and atrium are increased.
  2. Pressures in the left ventricle and atrium are decreased.
  3. Pressures in the right ventricle and atrium match the ventricle pressures.
  4. Pressures in the right ventricle reflect functioning of all heart chambers.

Question 2

The nurse is assessing a patient with chronic heart failure. Which abnormal chest sound should the nurse expect to auscultate?
 
  1. expiratory wheezes
  2. friction rub
  3. harsh vesicular sounds
  4. crackles



lin77x

  • Sr. Member
  • ****
  • Posts: 326
Answer to Question 1

Correct Answer: 1
As the heart loses its ability to eject blood effectively from the left ventricle upon contraction, blood is retained in the left ventricle after systole and the chamber pressure rises due to the added blood volume. This patient is in left-sided heart failure, so pressure is higher in the left side of the heart, not the right side.

Answer to Question 2

Correct Answer: 4
Fluid accumulates in the alveolar spaces in left-sided heart failure. This fluid causes the sound of crackles at the end of inspiration. Expiratory wheezes, friction rub, and harsh vesicular sounds are not associated with chronic heart failure.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Did you know?

Though methadone is often used to treat dependency on other opioids, the drug itself can be abused. Crushing or snorting methadone can achieve the opiate "rush" desired by addicts. Improper use such as these can lead to a dangerous dependency on methadone. This drug now accounts for nearly one-third of opioid-related deaths.

Did you know?

The top 10 most important tips that will help you grow old gracefully include (1) quit smoking, (2) keep your weight down, (3) take supplements, (4) skip a meal each day or fast 1 day per week, (5) get a pet, (6) get medical help for chronic pain, (7) walk regularly, (8) reduce arguments, (9) put live plants in your living space, and (10) do some weight training.

Did you know?

The longest a person has survived after a heart transplant is 24 years.

Did you know?

In 1864, the first barbiturate (barbituric acid) was synthesized.

For a complete list of videos, visit our video library