Weekly NCLEX/HESI Question for September 23


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September 23

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A 68 year old patient who has had a myocardial infarction ten years ago is admitted to the unit with shortness of breath for the last week. Mrs. E. recently received treatment for a respiratory infection. Upon auscultation of the lungs the nurse hears crackles in both lungs.  She has edema of both lower extremities. The nurse understands that Mrs. E. is exhibiting signs of systolic failure which include all but:
An ejection fraction of less than 50%.
Hypertrophy of the cardiac wall.
Left sided heart failure.
Right sided heart failure.
Question 1 Explanation: 
The correct answer is (c). All the symptoms exhibited refer to right side heart failure.
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