The Nurse Is Concerned That a Patient Is Developing Right

question 20

Multiple Choice

The nurse is concerned that a patient is developing right heart failure.What did the nurse assess in this patient? Credit will be given only if all correct choices and no incorrect choices are selected.

• A)Ankle edema
• B)Enlarged liver
• C)Displaced apical heart rate
• D)Shortness of breath
• E)Cough

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Definitions:

Hyperventilate

Breathing more rapidly or deeply than normal, leading to excessive expulsion of carbon dioxide, which can cause dizziness or a feeling of light-headedness.

Increased Metabolic Demands

The body's need for more energy due to physical activity, growth, stress, or illness, requiring a higher intake of nutrients.

Decreased Drive

A reduction in the motivation or desire to engage in particular activities.

Fluid Volume Overload

A medical condition where there is an excessive accumulation of water and salt in the body, leading to swelling and other complications.