(1 point). Listen.
Which patient should be monitored most closely by the nurse for complications?

Choice A rationale:

Non-STEMI (Non-ST-Elevation Myocardial Infarction) is a type of heart attack where there is no significant ST segment elevation on the ECG. While it can be serious, it is generally associated with a lower risk of severe complications compared to STEMI.

Choice B rationale:

STEMI (ST-Elevation Myocardial Infarction) is a type of heart attack with significant ST segment elevation on the ECG. It is associated with a higher risk of severe complications and requires more urgent intervention. Patients with STEMI should be monitored most closely for complications.

Choice C rationale:

"QRS type heart attack" is not a recognized medical term. It does not accurately describe a type of heart attack. This choice is not appropriate.

Choice D rationale:

"Non-QRS type heart attack" is not a recognized term in the context of heart attacks. It does not accurately describe a specific type of heart attack. This choice is not suitable.

Choice A rationale:

Elevated pulmonary vascular resistance can lead to right-sided heart failure. In conditions such as chronic obstructive pulmonary disease (COPD) and pulmonary hypertension, increased resistance in the pulmonary circulation can cause the right ventricle of the heart to work harder to pump blood into the lungs. Over time, this can lead to right-sided heart failure. The rationale for this choice is that when the right ventricle fails, it can result in symptoms such as peripheral edema, jugular venous distension, hepatomegaly, and ascites, which are characteristic of right-sided heart failure.

Choice B rationale:

Left-sided heart failure is not typically associated with chronic pulmonary disease and elevated pulmonary vascular resistance. Left-sided heart failure is more commonly linked to conditions like hypertension, coronary artery disease, and valvular heart diseases. It leads to symptoms such as pulmonary congestion, dyspnea, and orthopnea, rather than the signs of right-sided heart failure.

Choice C rationale:

Low-output failure is a generic term that can refer to both left and right-sided heart failure. It does not specifically address the relationship between chronic pulmonary disease and elevated pulmonary vascular resistance. Low-output failure occurs when the heart cannot pump a sufficient amount of blood to meet the body's demands, and it can be due to either left or right-sided heart failure.

Choice D rationale:

High-output failure is a less common type of heart failure and is typically not associated with chronic pulmonary disease and elevated pulmonary vascular resistance. It occurs when the heart is pumping a higher-than-normal volume of blood but still cannot meet the body's metabolic demands. Causes of high-output failure may include conditions like anemia, hyperthyroidism, or arteriovenous shunts.