Question 1
While transferring a patient with heart failure from the bed to a chair, the nurse stops and decides to keep the patient in bed. What patient manifestation indicated to the nurse that this patient's status was deteriorating? Select all that apply.
Note: Credit will be given only if all correct choices and no incorrect choices are selected.◦ Jugular vein distention
◦ Respiratory rate 30
◦ Heart rate 134 on the cardiac monitor
◦ Productive cough
◦ Gasping for breath
Question 2
The central venous pressure of a patient with heart failure is slowly increasing. What should this finding suggest to the nurse?
◦ Fluid is backing up in the lungs.
◦ Left heart function is deteriorating.
◦ Right heart function is improving.
◦ Right heart function is deteriorating.
Summation of Heart Sounds, Pulmonic Ejection Click
anatomy of the heart
Role-Playing a Situation in Which a Patient Is Frightened, Angry, or Anxious
Blood pressure test