Difficulty: Medium
Average Score: 82%
Simulated
The nurse is assessing the client following an inferior-septal wall MI. Which potential complication should the nurse further explore when noting that the client has JVD and ascites?
Correct answer
C
Rationale
Right-sided HF produces venous congestion in the systemic circulation, resulting in JVD and ascites (from vascular congestion in the GI tract). Left-sided HF causes pulmonary congestion, pulmonic valve issues cause murmurs, and a ruptured septum causes shock and murmurs, none of which match the findings.