Practice Quiz

MSNCB Medical-Surgical Nursing Exam Prep

Category - Medical Surgical

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Mr. Ong, a 61-year-old cook in a Chinese restaurant, is admitted to the hospital with a diagnosis of Left-sided CHF. In the assessment, the nurse should expect to find:
  1. Crushing chest pain
  2. Dyspnea on exertion
  3. Extensive peripheral edema
  4. Jugular vein distention
Explanation
Answer - B - Dyspnea on exertion. Pulmonary congestion and edema occur because of fluid extravasation from the pulmonary capillary bed, resulting in difficult breathing. Left-sided heart failure creates a backward effect on the pulmonary system that leads to pulmonary congestion.
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