Mr. Jim a 65 year old retired steel worker is admitted to the unit with dyspnea upon exertion. He has a long history of smoking. Initial assessment findings include barrel chest, ankle edema, persistent cough with copious sputum production, and variable wheezing on expiration. Laboratory test result include a hematocrit greater than 60% and a partial pressure of carbon dioxide in arterial blood (PaCO2) OF 65 mm Hg. The physican diagnostic chronic obstructive pulmonary disease (COPD)
1. Mr.Jim’s ankle edema and respiratory problems should make the nurse suspect hypertrophy of which heart chamber?
A. Left atrium
B. Right atrium
C. Left ventricle
D. Right ventricle » Continue Reading