A patient asks the nurse what a diagnosis of heart failure means. Which of the following is the nurse's best response?

Your heart stops.

Your heart is pumping too much blood.

Your heart has an area of muscle that has died.

Your heart is not an efficient pump.

Answer and Explanation

The Correct Answer is D

Choice A reason: The statement "Your heart stops" is incorrect; heart failure does not mean the heart has stopped functioning.

Choice B reason: "Your heart is pumping too much blood" is not accurate; heart failure often means the heart cannot pump enough blood to meet the body's needs.

Choice C reason: While an area of heart muscle may die during a heart attack, this is not the defining characteristic of heart failure.

Choice D reason: The most accurate description of heart failure is that the heart is not pumping efficiently, which can lead to symptoms like fatigue and shortness of breath.

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Correct Answer is B

Explanation

Choice A Reason:Notifying the patient's family is not the immediate priority when the patient is experiencing severe respiratory distress. The nurse's primary focus should be on addressing the patient's acute symptoms.

Choice B Reason:Providing oxygen is crucial in managing respiratory distress. In a patient with myocardial infarction (heart attack), adequate oxygenation is essential to prevent further complications. The nurse should promptly administer oxygen as prescribed to improve oxygen supply and alleviate distress.

Choice C Reason:While notifying the health care provider is essential, it is not the first action in this critical situation. The nurse should prioritize interventions that directly address the patient's distress.

Choice D Reason:Elevating the head of the bed (semi-Fowler's position) is beneficial for patients with respiratory distress, but it is not the initial action. Providing oxygen takes precedence over positioning.

A. Be honest. B. Develop trust. C. Show acceptance. D. Be judgmental.

Correct Answer is D

Explanation

Choice A reason: Being honest is important in building a therapeutic relationship and can help the patient feel understood and respected.

Choice B reason: Developing trust is crucial for effective interventions and can encourage the patient to engage in treatment and share their feelings.

Choice C reason: Showing acceptance helps the patient feel safe and validated, which is essential in treating depression.

Choice D reason: Being judgmental is not an effective intervention as it can further alienate and discourage the patient, potentially worsening their condition.

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A patient asks the nurse what a diagnosis of heart failure means. Which of the following is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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