A nurse is concerned that a child with pulmonary hypertension (PA)is developing heart failure.Which manifestation would the nurse assess for first?
A) Cough
B) Dyspnea
C) Extremity edema
D) Tachycardia

Question

Quizplus · Accepted Answer

As the pressure in the lungs increases in the child with PA,the right ventricle hypertrophies and will eventually fail.Manifestations of right-sided failure include peripheral edema.Lung manifestations are seen in left-sided heart failure.Tachycardia is nonspecific.Although both sides of the heart can eventually fail,the first signs and symptoms will be of right-sided failure.

A Nurse Is Concerned That a Child with Pulmonary Hypertension