A 73-year-old patient has increased pulmonary pressure resulting in right heart failure. What could be a potential cause for the right heart to fail?

Left heart failure.

Pericarditis.

Hypertension.

Acute pneumonia.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Left heart failure is a common cause of right heart failure. When the left side of the heart is unable to pump blood efficiently, it can cause increased pressure in the lungs, which can then lead to right heart failure.
Choice B rationale
Pericarditis, an inflammation of the sac-like covering around the heart, is not typically a direct cause of right heart failure.
Choice C rationale
While hypertension, or high blood pressure, can contribute to heart failure, it typically affects the left side of the heart more than the right.
Choice D rationale
Acute pneumonia, an infection that inflames the air sacs in one or both lungs, is not typically a direct cause of right heart failure.

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Correct Answer is B

Explanation

The statement “I will call an ambulance if I have pain after taking 3 nitroglycerin 5 minutes apart” indicates that the patient understands the correct use of sublingual nitroglycerin (Nitrostat). If chest pain is not relieved after a total of 3 tablets or sprays, this is an emergency situation and medical help should be sought immediately.

A. Pericardiocentesis B. Pericardiectomy C. Heart catheterization D. Thoracotomy .

Correct Answer is A

Explanation

Choice A rationale
Pericardiocentesis is a procedure that uses a needle to remove fluid from the pericardial sac. This procedure can be used to relieve pressure on the heart caused by a large pericardial effusion.
Choice B rationale
A pericardiectomy is a surgical procedure that removes part or all of the pericardium. It is typically used to treat constrictive pericarditis, not pericardial effusion.
Choice C rationale
Heart catheterization involves inserting a long, thin tube (catheter) into a blood vessel and guiding it to the heart. It is typically used to diagnose and treat certain cardiovascular conditions, not pericardial effusion.
Choice D rationale
A thoracotomy is a surgical procedure to gain access to the chest. It is typically used for lung, esophagus, or other chest organ operations, not pericardial effusion.

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A 73-year-old patient has increased pulmonary pressure resulting in right heart failure. What could be a potential cause for the right heart to fail?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which patient statement indicates that the nurse’s teaching about sublingual nitroglycerin (Nitrostat) has been effective?

Correct Answer is B

Explanation

A patient with severe pericarditis has developed a large pericardial effusion and is symptomatic. What type of procedure should the physician order to help treat this condition?

Correct Answer is A

Explanation

A patient newly admitted with pulmonary edema is due to receive several medications. Which medication should the nurse efore administration?

The standard policy on the cardiac unit states, “Notify the health care provider for mean arterial pressure (MAP) less than 70 mm Hg.”. Which patient should the nurse call the health care provider about?

A 75-year-old male experiences severe chest pain and calls 911. Given that lab findings indicate elevated levels of cardiac troponins I and T, what condition does the nurse suspect?

In the context of a patient undergoing IV furosemide (Lasix) treatment for hypertension, which observation is most crucial to communicate to the healthcare provider?

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While conducting an admission assessment, the nurse observes clubbing of the patient’s fingers. Based on this finding, the nurse should he patient about which disease process?

What is the most appropriate advice for a patient suffering from arterial insufficiency?

A 73-year-old patient has increased pulmonary pressure resulting in right heart failure. What could be a potential cause for the right heart to fail?