The Nurse Is Assessing an Older Patient Diagnosed with Heart

question 8

Multiple Choice

The nurse is assessing an older patient diagnosed with heart failure several years ago. Which would indicate the patient is in the late stage of heart failure?

• A) Fatigue
• B) Confusion
• C) Lung congestion
• D) Shortness of breath

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Definitions:

Femoral Area

The region surrounding the femur or thigh bone, inclusive of the hip and upper thigh areas in the human body.

Tympanic Percussion

A method used in physical examinations to produce sounds by tapping on the body's surface, particularly over the tympanic area to assess air presence in body cavities.

Palpable Spleen

A spleen that is detectable upon physical examination, often indicating enlargement due to various health conditions.

Gastric Acid Secretion

The process of producing stomach acid, which aids in digestion and protects against pathogens in the gastrointestinal tract.