Difficulty: Medium
Average Score: 92%
Simulated
An adult client newly diagnosed with left ventricular dysfunction is admitted to the hospital with fine rales and wheezing. When assessing this client, which additional finding is the nurse likely to obtain?
Correct answer
C
Rationale
The correct answer is C because jugular vein distension is a hallmark of left ventricular dysfunction and heart failure. Choice A is less common. Choice B is secondary to other signs. Choice D is non-specific.