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NR509 questions and answers graded A+| latest update A 65-year-old man is admitted to the Cardiac Intensive Care Unit with decompensated heart failure. On physical examination, the patient is cool to touch, heart sounds are regular in rate and rhythm,

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NR509 questions and answers graded A+| latest update A 65-year-old man is admitted to the Cardiac Intensive Care Unit with decompensated heart failure. On physical examination, the patient is cool to touch, heart sounds are regular in rate and rhythm, the neck veins are elevated 8 cm above the sternal angle, diffuse crackles are heard in the lungs, and there is 2+ pitting edema to the knee. What would you expect with palpation of the peripheral pulses? - The answer is small, weak pulses. This patient is presenting with decompensated heart failure and has increased peripheral resistance as evidenced by being cool to touch. Small, weak pulses are often indicative of increased peripheral resistance in severe heart failure


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