Author Question: Which physical assessment finding does the nurse would expect in a client with left-sided heart ... (Read 101 times)

jasdeep_brar · **on:** Jul 23, 2018

Which physical assessment finding does the nurse would expect in a client with left-sided heart failure?

1. Enlarged liver
2. Lung congestion
3. Jugular vein distension
4. Peripheral edema

Question 2

The nurse is caring for a client who is diagnosed with heart failure. The nurse knows that which conditions may have contributed to the development of heart failure in this client?

Standard Text: Select all that apply.
1. Uncontrolled hypertension
2. Coronary artery disease
3. Diabetes
4. HIV
5. Mitral stenosis

epscape · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Right-sided failure causes blood to back up to the large veins, which can cause hepatomegaly.
Rationale 2: Left-sided heart failure results in blood backing up into the lungs, causing pulmonary edema.
Rationale 3: Right-sided failure causes blood to back up to the large veins, resulting in jugular venous distension.
Rationale 4: Right-sided failure causes blood to back up to the large veins. Gravity pulls backed-up blood toward the feet, resulting in pedal edema.
Global Rationale: Left-sided heart failure results in blood backing up into the lungs, causing pulmonary edema. Right-sided failure causes blood to back up to the large veins, which can cause hepatomegaly, jugular venous distention, and pedal edema caused by gravity pulling back-up blood toward the feet.

Answer to Question 2

Correct Answer: 1,2,3,5
Rationale 1: Uncontrolled hypertension is associated with the development of heart failure.
Rationale 2: Coronary artery disease is associated with the development of heart failure.
Rationale 3: Diabetes is associated with the development of heart failure.
Rationale 4: HIV is not associated with the development of heart failure.
Rationale 5: Mitral stenosis is associated with the development of heart failure.
Global Rationale: Uncontrolled hypertension, coronary artery disease, diabetes, and mitral stenosis are associated with the development of heart failure. HIV is not associated with the development of heart failure.