The patient with long-term emphysema is admitted with a secondary diagnosis of cor pulmonale. What should the nurse anticipate?
a. The patient will present with edema of the lower extremities and extended neck veins due to hypertension of the pulmonary circulation.
b. The patient will present with a dry hacking cough and chest pain due to constriction of the pulmonary vein.
c. The patient will present with hypertension and a headache related to pulmonary hypertension.
d. The patient will present with unlabored respiration and cyanosis around the mouth.
ANS: A
COPD can lead to cor pulmonale, an abnormal cardiac condition characterized by hypertrophy of the right ventricle of the heart as a result of hypertension of the pulmonary circulation. Cor pulmonale results in the presence of edema in the lower extremities, as well as in the sacral and perineal area, distended neck veins, and enlargement of the liver with ascites.
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