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Exam NREMT topic 2 question 13 discussion

Actual exam question from Test Prep's NREMT
Question #: 13
Topic #: 2
[All NREMT Questions]

You are called to a nursing home for a patient with swelling to her legs. Upon arrival, you find a 76-year-old patient sitting in a wheelchair. Assessment confirms pitting edema to both lower legs. You are able to palpate a dorsalis pedal pulse bilaterally. Her skin is warm, pink, and dry. Her lungs are clear bilaterally. Which of the following conditions do you suspect?

  • A. Deep vein thrombosis.
  • B. Bilateral acute arterial occlusion.
  • C. Atherosclerosis.
  • D. Chronic CHF.
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Suggested Answer: D 🗳️
Edema to the legs or sacrum are often a result of right-sided congestive heart failure. Often, there may also be jugular vein distention and ascites present as well.
The most common cause of right-sided heart failure is left-sided heart failure; therefore, you may also note signs and symptoms of left-sided heart failure such as a dry, hacking cough, or coughing up pink frothy sputum, shortness of breath, orthopnea, paroxysmal nocturnal dyspnea, and fatigue

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