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NUR 233 EAQ Exam 4 Questions and Answers 100% Solved | Latest Update
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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...

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  • November 20, 2024
  • 27
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
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

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
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

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