The client has experienced a myocardial infarction resulting in damage to the left ventricle. A possible complication the client may experience that the nurse is alert to is:
1. Jugular neck vein distention
2. Pulmonary congestion
3. Peripheral edema
4. Liver enlargement
ANSWER
ANS: 2
Pulmonary congestion may be experienced in left-sided heart failure. Jugular neck vein distention is characteristic of right-sided heart failure. Peripheral edema is characteristic of right-sided heart failure. Hepatomegaly (liver enlargement) is characteristic of right-sided heart failure.
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