The nurse is performing an assessment on a patient whose right atrial pressure is 12 mmHg.Which findings would the nurse anticipate? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
A)Jugular vein distention
B)Weak,thready pulse
C)Presence of rales and rhonchi
D)Poor skin turgor
E)Hepatomegaly

Question

Quizplus · Accepted Answer

A right atrial pressure of 12 mmHg indicates fluid overload in the right side of the heart and may lead to backup of blood in the venous system. Jugular vein distention and hepatomegaly are common findings in patients with fluid overload. Weak, thready pulse, rales and rhonchi, and poor skin turgor are not directly related to right atrial pressure and are therefore incorrect choices.

The Nurse Is Performing an Assessment on a Patient Whose