Question # 46

While auscultating a patient with known heart failure, the nurse hears a loud S3 gallop and notes jugular venous distention that increases with abdominal pressure (positive abdominojugular reflux). These findings most strongly support:

Options:

A.

Adequate volume status

B.

Elevated right-sided filling pressures and volume overload

C.

Isolated left-ventricular hypertrophy without congestion

D.

Dehydration

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