A 35-year-old patient presents with pulmonary hypertension and is diagnosed with right heart failure. What is the most likely cause of this condition?
Aortic regurgitation
Mitral regurgitation
Aortic stenosis
Tricuspid regurgitation
The Correct Answer is D
Choice A rationale
Aortic regurgitation is a condition where the aortic valve doesn’t close tightly, causing blood to leak back into the left ventricle. This condition can lead to left heart failure but is not typically associated with right heart failure.
Choice B rationale
Mitral regurgitation is a disorder in which the mitral valve on the left side of the heart does not close properly. This condition can lead to left heart failure but is not typically associated with right heart failure.
Choice C rationale
Aortic stenosis is a narrowing of the aortic valve opening. This condition can lead to left heart failure but is not typically associated with right heart failure.
Choice D rationale
Tricuspid regurgitation is a disorder in which the heart’s tricuspid valve does not close properly, causing blood to flow backward into the right atrium. This condition can lead to right heart failure, especially when associated with pulmonary hypertension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Furosemide (Lasix) is a diuretic medication used to treat hypertension and edema. One of the side effects of furosemide is hypokalemia, or low potassium levels. A serum potassium level of 3.0 mEq/L is lower than the normal range (3.5 to 5.0 mEq/L), which can lead to serious complications such as cardiac arrhythmias.
Therefore, this observation is crucial to communicate to the healthcare provider.
Correct Answer is B
Explanation
Choice A rationale
Implementing a smoking cessation program, while beneficial for overall health and cardiovascular risk reduction, is not the primary therapeutic goal for secondary hypertension. Secondary hypertension is high blood pressure caused by an underlying condition. Therefore, the primary goal is to treat the underlying condition.
Choice B rationale
Treating the specific etiological disease is the primary therapeutic goal for secondary hypertension. By treating the underlying cause, blood pressure can often be lowered or returned to normal.
Choice C rationale
Initiating a rapid weight-loss program is not the primary therapeutic goal for secondary hypertension. While weight loss can help lower blood pressure in general, the primary goal in secondary hypertension is to treat the underlying cause.
Choice D rationale
Starting a rigorous exercise regimen, while beneficial for overall health and cardiovascular risk reduction, is not the primary therapeutic goal for secondary hypertension. The primary goal is to treat the underlying condition causing the high blood pressure.
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