A nurse is caring for a client with cirrhosis.The nurse notes that the client is dyspneic,and crackles are heard on the auscultation of the lungs.The nurse suspects fluid volume excess secondary to congestive heart failure (CHF).What additional signs would the nurse expect to see if the cardiovascular system is being affected?
A)flat hand and neck veins
B)a weak and thready pulse
C)an increase in blood pressure
D)an increased urine output

Question

Quizplus · Accepted Answer

Findings associated with fluid volume excess associated with congestive heart failure include cough,dyspnea,crackles,tachypnea,tachycardia,elevated blood pressure and a bounding pulse,and an elevated central venous pressure.In addition,the client would exhibit weight gain,edema,neck and hand vein distention,altered level of consciousness,and a decreased hematocrit.

A Nurse Is Caring for a Client with Cirrhosis