Which manifestation does the nurse expect a patient to exhibit in high-output heart failure?
A) Cool skin
B) Strong peripheral pulses
C) Flat neck veins
D) Dry, scaly skin
B) Strong peripheral pulses
Explanation: A) Unlike patients with systolic heart failure, patients with high-output heart failure are typically warm with strong distal pulses.
B) Unlike patients with systolic heart failure, patients with high-output heart failure are typically warm with strong distal pulses.
C) Patients with high-output heart failure develop signs of volume overload such as hepatic congestion, elevated jugular venous pressure, and peripheral edema.
D) Patients with high-output heart failure develop signs of volume overload such as hepatic congestion, elevated jugular venous pressure, and peripheral edema. Dry scaly skin is a sin of dehydration, not fluid overload.
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Standardized care plans are:
1. clinical pathways. 2. evaluation tools. 3. outcome criteria. 4. nursing intervention–based.
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a. AV node. b. bundle of His. c. Purkinje fibers. d. sinoatrial (SA) node.
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1. Knee extension 2. Second-phase gait 3. Hip flexion 4. First-phase gait