Practice Question
When assessing a patient with chronic bronchitis, which clinical sign best indicates a complication related to right-sided heart failure?
Answer Choices:
Correct Answer:
Distended neck veins and dependent edema
Rationale:
🟣 Chronic bronchitis can progress to cor pulmonale, where right-sided heart failure develops due to chronic pulmonary hypertension.
🟣 Right-sided failure leads to systemic venous congestion, presenting with JVD and peripheral edema.
🟣 These findings indicate a serious cardiovascular complication, not merely worsening COPD symptoms.
🟣 Early recognition prevents further decompensation and guides appropriate therapy.
❌ Productive cough with thick mucus— Expected COPD symptom, not heart failure.
❌ Use of accessory muscles during respiration — Reflects respiratory effort, not HF.
❌Dyspnea worsening with exertion — Common in COPD, non-specific.
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This question is from EXAMPLIFY NUR 105 EXAM 3 FALL 2025 which contains 50 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Medical-Surgical
- Answer Choices: 4