The nurse is caring for an 84-year-old man who has just returned from the OR after inguinal hernia repair
The OR report indicates that the patient received large volumes of IV fluids during surgery and the nurse recognizes that the patient is at risk for left-sided heart failure. What signs and symptoms would indicate left-sided heart failure?
A) Jugular vein distention
B) Right upper quadrant pain
C) Bibasilar fine crackles
D) Dependent edema
Ans: C
Feedback:
Bibasilar fine crackles are a sign of alveolar fluid, a sequela of left ventricular fluid, or pressure overload. Jugular vein distention, right upper quadrant pain (hepatomegaly), and dependent edema are caused by right-sided heart failure, usually a chronic condition.
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