A patient presents to the emergency department complaining of increasing shortness of breath
The nurse assessing the patient notes a history of left-sided heart failure. The patient is agitated and coughing up pink-tinged, foamy sputum. What should the nurse recognize these as signs and symptoms of?
A) Right-sided heart failure
B) Acute pulmonary edema
C) Pneumonia
D) Cardiogenic shock
Ans: B
Feedback: Because of decreased contractility and increased fluid volume and pressure in patients with heart failure, fluid may be driven from the pulmonary capillary beds into the alveoli, causing pulmonary edema. In right-sided heart failure, the patient exhibits hepatomegaly, jugular vein distention, and peripheral edema. In pneumonia, the patient would have a temperature spike, and sputum that varies in color. Cardiogenic shock would show signs of hypotension and tachycardia.
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