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normita2 normita2
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6 years ago
A nurse is performing a physical assessment on a patient taking a beta blocker. The patient complains of shortness of breath and has respirations 28/minute, BP 162/90, P 88/minute, and crackles on auscultation.
 
  The nurse understands that these signs and symptoms are consistent with which of the following health alterations? a. Pneumonia
  b. Left-sided heart failure
  c. Pulmonary embolus
  d. Right-sided heart failure
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wrote...
6 years ago
B
The signs and symptoms describe left-sided heart failure, in which the blood normally handled by the left ventricle and forced out through the aorta into the body backs up into the lungs, pro-ducing respiratory or lung signs and symptoms.
The patient's signs and symptoms are not indicative of pneumonia.
The patient's signs and symptoms are not indicative of a pulmonary embolus.
The patient's signs and symptoms are consistent with left-sided heart failure, not right-sided heart failure, which would present with more systemic signs and symptoms, such as jugular vein distension, ascites, pitting edema, hepatomegaly, and splenomegaly, among others.
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