NUR 233 EAQ Exam 4 Questions and
Answers 100% Solved | Latest Update
A patient with right ventricular failure asks the nurse about this condition.
Which information should the nurse include in the explanation? Select all
that apply.
1
The right ventricle doesn't function well, and fluid backs up in the systemic
circulation.
2
There may be an enlargement of the liver and spleen.
3
The right ventricle doesn't function well, and fluid backs up in the lungs.
4
There is pulmonary edema and fluid accumulation in the lungs.
5
There may be peripheral edema of the hands and feet. - ✔✔1, 2, 5
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In right ventricular failure, the right ventricle of the heart does not function
well, resulting in a backup of fluids in the systemic circulation. This backup
exerts pressure on various organs and leads to the enlargement of the liver
and spleen. There is also a fluid accumulation in the extremities presenting
as edema. In left ventricular failure, the fluid backs up in the lungs causing
pulmonary edema.
Which statement is true regarding chest percussion?
Multiple choice question
Chest percussion involves slow striking of the chest wall.
Chest percussion is performed over a multilayer of clothing.
Chest percussion involves rhythmically clapping on the chest wall.
Chest percussion is commonly performed on patients who have
osteoporosis. - ✔✔Chest percussion involves rhythmically clapping on the
chest wall.
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Chest percussion involves rhythmically clapping on the chest wall. It
involves striking the chest wall vigorously. It is performed over a single
layer of clothing and is contraindicated in patients who have osteoporosis.
During assessment a patient states, "It's hard for me to breathe and I feel
short-winded all the time." Which is the most appropriate terminology for
the nurse to use when documenting this assessment?
Multiple choice question
Apnea
Dyspnea
Tachypnea
Respiratory fatigue - ✔✔Dyspnea
Dyspnea is a subjective description reflective of the patient's statement
indicating difficulty in breathing. Apnea refers to absence of breathing.
Tachypnea refers to an increased rate of breathing, usually greater than 20