A nurse is providing education about the pathophysiology of cardiomyopathy to the family of a child who has been recently diagnosed with the condition. Which of the following statements made by a caregiver indicates understanding?
“There is an increased workload on the right side of the heart, making the muscle thinner and harder for the heart to pump blood through the body."
"There is an increased workload on the left side of the heart, making the muscle thicker and harder for the heart to pump blood through the body."
“There is an increased workload in the right and left atria, making the muscle thinner and harder for the heart to pump blood through the body."
“There is an increased workload in the right and left ventricles, making the muscle thicker and harder for the heart to pump blood through the body."
The Correct Answer is D
A. “There is an increased workload on the right side of the heart, making the muscle thinner and harder for the heart to pump blood through the body.": Cardiomyopathy typically involves the ventricles rather than just the right side of the heart, and ventricular muscle often becomes thickened or dilated rather than thinner initially.
B. "There is an increased workload on the left side of the heart, making the muscle thicker and harder for the heart to pump blood through the body.": While left-sided involvement can occur, cardiomyopathy often affects both ventricles, not solely the left side.
C. “There is an increased workload in the right and left atria, making the muscle thinner and harder for the heart to pump blood through the body.": The atria are not the primary sites affected in cardiomyopathy; pathology predominantly affects the ventricles, which manage the major pumping workload.
D. “There is an increased workload in the right and left ventricles, making the muscle thicker and harder for the heart to pump blood through the body.": Cardiomyopathy causes the ventricular muscle to undergo hypertrophy or dilation due to increased workload, impairing effective pumping. This accurately reflects the pathophysiology and ventricular involvement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Children who need hospital admission will receive specialized care related to their illness and developmental level.": Specialty pediatric hospitals provide care tailored to both the medical needs and developmental stage of children. This ensures that treatments, procedures, and support are appropriate for the child’s age and condition, demonstrating understanding of pediatric-focused care.
B. "Children here will receive complete developmental screenings at routine intervals.": While developmental assessments may be performed, routine and complete screenings are not the primary function of a specialty pediatric hospital and may not occur for every admitted child.
C. "My toddler will receive medical and childcare while my partner and I are at work.": Specialty pediatric hospitals focus on providing treatment and support for serious medical conditions, not acting as daycare services for working parents.
D. "My toddler will receive first aid and health education while they are here.": Basic first aid and general health education are not the primary focus of specialty pediatric hospitals. The primary focus is specialized medical care for complex or chronic conditions.
Correct Answer is A
Explanation
A. "JIA can cause joint damage leading to permanent deformities and reduced mobility.": Systemic juvenile idiopathic arthritis involves chronic inflammation that can damage cartilage and bone over time. Without effective management, this can result in joint deformities, limited range of motion, and functional impairment, highlighting the importance of long-term monitoring and therapy.
B. "JIA has no long-term developmental effects as long as it is treated with NSAIDs.": NSAIDs help manage pain and inflammation but do not prevent all complications. Children with JIA may still experience growth disturbances, joint damage, or delays in physical development despite treatment.
C. "The inflammation of the joints experienced with this type of JIA is mild.": Systemic JIA can involve severe, persistent inflammation affecting multiple joints and sometimes organs. Describing it as mild underestimates disease severity and may give parents false reassurance.
D. "Most children do not need any treatment beyond monitoring, and they will grow out of this type of JIA.": Systemic JIA often requires pharmacologic interventions such as NSAIDs, corticosteroids, or disease-modifying antirheumatic drugs. The disease does not spontaneously resolve in most cases, and untreated inflammation can cause permanent damage.
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