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AACN CCRN-Adult Exam - Topic 1 Question 28 Discussion

Patients in end-stage cardiomyopathy often exhibit which of the following symptoms of right-sided heart failure?
B) JVD and hepatomegaly
A) hypotension and oliguria
C) hypertension and polyuria
D) pulmonary edema and restlessness

AACN CCRN-Adult Exam - Topic 1 Question 28 Discussion

Actual exam question for AACN's CCRN-Adult exam
Question #: 28
Topic #: 1
[All CCRN-Adult Questions]

Patients in end-stage cardiomyopathy often exhibit which of the following symptoms of right-sided heart failure?

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Suggested Answer: B

JVD stands for jugular venous distension, which is a sign of increased pressure in the right atrium and the superior vena cava. Hepatomegaly means enlargement of the liver, which can occur due to congestion of blood in the portal vein and the hepatic vein. Both JVD and hepatomegaly are common symptoms of right-sided heart failure, as they indicate fluid retention and backup in the systemic circulation12. Hypotension and oliguria are not specific to right-sided heart failure, as they can also occur in left-sided heart failure or other conditions that affect the cardiac output and renal perfusion. Hypertension and polyuria are unlikely to be seen in right-sided heart failure, as they indicate increased blood pressure and urine output, which are opposite to the effects of reduced cardiac function and fluid overload. Pulmonary edema and restlessness are more characteristic of left-sided heart failure, as they indicate fluid accumulation and impaired gas exchange in the lungs12.


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