Difficulty: Medium
Average Score: 85%
Simulated
The nurse is assessing a client who is admitted with signs and symptoms of recurrent right-sided heart failure (HF). Which pathological process supports the client's clinical exacerbation of right-sided HF?
Correct answer
A
Rationale
Right-sided heart failure leads to systemic venous congestion, manifesting as jugular venous distention (JVD), peripheral edema, and ascites. JVis a hallmark physical sign of elevated right atrial pressure and supports right-sided HF exacerbation.