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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Anginal pain typically does not worsen with deep inspiration; this is more characteristic of pleuritic chest pain.
Choice B reason: Anginal pain usually does not persist with rest and organic nitrates; these interventions are typically used to alleviate angina.
Choice C reason: Exertion and anxiety increase the heart's demand for oxygen, which can trigger anginal pain due to reduced blood flow in narrowed coronary arteries.
Choice D reason: Anginal pain typically lasts for a short time, usually less than 20 minutes. If the pain lasts longer, it may indicate a more serious condition like a myocardial infarction.
Correct Answer is C
Explanation
Choice A reason: This statement is not appropriate as it may sound condescending and does not acknowledge the client's effort in a respectful manner.
Choice B reason: This question could be perceived as intrusive and might make the client feel defensive about their self-care activities.
Choice C reason: This response is appropriate as it is a neutral observation that acknowledges the client's effort without making judgments or assumptions.
Choice D reason: While this statement is positive, it may not be the best choice as it could be interpreted as patronizing rather than a simple acknowledgment.
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