The central venous pressure of a patient with heart failure is slowly increasing. What does this finding suggest to the nurse?
1. Right heart function is deteriorating.
2. Left heart function is deteriorating.
3. Fluid is backing up in the lungs.
4. Right heart function is improving.
1
Rationale 1: Elevations in right filling pressures, such as the central venous pressure, can cause systemic venous pressure elevations leading to peripheral edema and ascites. These are symptoms of right heart failure.
Rationale 2: Elevated central venous pressure is not an indication of left heart function.
Rationale 3: An elevated central venous pressure does not assess left heart function.
Rationale 4: An elevated central venous pressure would indicate that right heart function is deteriorating and not improving.
You might also like to view...
As with all aspects of care, strict handwashing is the single most important measure to prevent nosocomial infections
Indicate whether the statement is true or false
Social-psychological models describe aggression as
a. intentional harm toward others. b. an unhealthy way of managing anxiety. c. a conflict with others expressed aggressively. d. a response to frustration in the social environment.
A nurse is caring for a client in labor. During assessment, which of the following should the nurse consider to be a common discomfort of labor?
A) Exaggerated fetal movement B) Pain in the lower back C) Prolonged slowing of the fetal heart rate D) Irregular fetal heartbeat
A patient with an implantable cardioverter defibrillator (ICD) should be told to keep cell phones ____________________ inches from the ICD
Fill in the blank with the appropriate word.