When assessing a patient with heart failure affecting only the left ventricle, the nurse would expect which of the following conditions?
A) Systemic venous congestion
B) Elevated jugular venous pressure
C) Peripheral edema
D) Pulmonary venous congestion
D) Pulmonary venous congestion
Explanation: A) Systemic venous congestion occurs as a result of right ventricular failure. When the left ventricle fails, pulmonary venous congestion increases the work of the right ventricle, which must generate more force to overcome the increased pressure from venous congestion. As venous congestion progresses backward in the circulatory system, systemic venous congestion occurs, leading to elevated jugular venous pressure, liver congestion, and peripheral edema.
B) Elevated jugular venous pressure occurs as a result of right ventricular failure. When the left ventricle fails, pulmonary venous congestion increases the work of the right ventricle, which must generate more force to overcome the increased pressure from venous congestion. As venous congestion progresses backward in the circulatory system, systemic venous congestion occurs, leading to elevated jugular venous pressure, liver congestion, and peripheral edema.
C) Peripheral edema occurs as a result of right ventricular failure. When the left ventricle fails, pulmonary venous congestion increases the work of the right ventricle, which must generate more force to overcome the increased pressure from venous congestion. As venous congestion progresses backward in the circulatory system, systemic venous congestion occurs, leading to elevated jugular venous pressure, liver congestion, and peripheral edema.
D) Left-sided heart failure typically causes volume overload and venous congestion in the lungs, leading to fatigue and shortness of breath.
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