A Patient with a History of Chronic Congestive Heart Failure

question 19

Multiple Choice

A patient with a history of chronic congestive heart failure is hospitalized with severe dyspnea and a dry,hacking cough.She has pitting edema in both ankles,and her vital signs are blood pressure (BP) 170/100 mm Hg,pulse 92 beats/min,and respiration 28 breaths/min.What is the most important assessment for the nurse to conduct next?

• A) Auscultate the lung sounds.
• B) Assess the orientation.
• C) Check the capillary refill.
• D) Palpate the abdomen.

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Definitions:

Ultimate Causes

Explanatory factors in biology that address why organisms have the traits they do, often looking at historical reasons and evolutionary processes.

Evolutionary Pressures

Various factors in the environment that influence the survival and reproduction of species, driving the process of natural selection.

Genetic Causes

Factors related to variations or mutations in genes that can lead to various traits, diseases, or conditions in organisms.

Stickleback

A small fish often used in evolutionary biology studies, notable for its variable spines and the ability to adapt to fresh and salt water.