MEDizzy
MEDizzy
USMLE
Circulatory System
What change in pressure does the nurse conclude is responsible for the lower extremity pitting edema of a client with right ventricular heart failure?
Explanation
ExplanationA. In right ventricular heart failure, blood backs up in the systemic capillary beds; the increase in plasma hydrostatic pressure shifts fluid from the intravascular compartment to the interstitial spaces, causing edema. B.This occurs with crushing injuries or if proteins pathologically shift from the intravascular compartment to the interstitial spaces. C. Increased fluid pressure in the intravascular compartment causes fluid to shift to the tissues; the tissue hydrostatic pressure does not decrease. D. Although a decrease in colloid osmotic (oncotic) pressure can cause edema, it results from lack of protein intake, not increased hydrostatic pressure associated with right ventricular heart failure.
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