After an assessment the nurse is concerned that a patient is experiencing cor pulmonale associated with right-heart failure. What findings led the nurse to make this clinical decision?
Select all that apply.
1. ankle edema
2. ruddy cheeks
3. nasal drainage
4. cyanotic nail beds
5. distended neck veins
Correct Answer: 1, 2, 4, 5
The manifestations of cor pulmonale are those of the underlying pulmonary disorder and right-sided heart failure. With right-sided heart failure, peripheral edema and distended neck veins are seen. The skin is both ruddy and cyanotic because of increased numbers of RBCs and hypoxemia. Nasal drainage is not a manifestation of cor pulmonale associated with right-heart failure.
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