Which of the following symptoms would the nurse most likely find in assessing a child with right ventricular failure?
a. rales and rhonchi, falling oxygen saturation, and labored breathing
b. falling blood pressure, falling pulse rate, and increased respirations
c. diaphoresis, nausea and vomiting, and tingling in extremities
d. hepatomegaly, jugular venous distention, and peripheral edema
D
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A Incorrect. Rales and rhonchi, falling oxygen saturation, and labored breathing indicate pulmonary congestion.
B Incorrect. Falling blood pressure, falling pulse rate, and increased respirations are not symptoms of right ventricular failure.
C Incorrect. Diaphoresis, nausea and vomiting, and tingling in extremities are not symptoms of right ventricular failure.
D Correct. Systemic venous congestion indicates right ventricular failure with symptoms of hepatomegaly, jugular venous distention, and peripheral edema.
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