A patient diagnosed with Heart Failure would like the nurse to explain what the diagnosis means.
How will the nurse explain heart failure?
The heart muscle cannot pump effectively, causing a backup of blood.
Increased protein leads to reduced oncotic pressure and inability to pull the fluid into the system.
The hydrostatic pressure pushing fluids out of the capillary is lower than the oncotic pressure.
The decrease in venous pressure from the backup of blood increases hydrostatic pressure.
The Correct Answer is A
Choice A rationale
Heart failure occurs when the heart muscle cannot pump blood effectively, leading to a backup of blood and fluid buildup in the lungs, legs, and other parts of the body. This explanation is accurate and helps the patient understand the nature of their condition.
Choice B rationale
Reduced oncotic pressure due to increased protein levels is not a primary factor in heart failure. Heart failure is related to the heart’s inability to pump effectively, not protein levels affecting oncotic pressure.
Choice C rationale
Hydrostatic pressure pushing fluids out of the capillaries is not directly related to heart failure. In heart failure, the issue lies in the heart’s inability to pump blood efficiently, leading to fluid buildup rather than fluid being pushed out of capillaries.
Choice D rationale
The decrease in venous pressure from the backup of blood does not cause heart failure. Heart failure results from the heart’s inability to pump blood effectively, leading to increased pressure and fluid buildup, not a decrease in venous pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Clonic-tonic muscle contraction is related to convulsions and seizures but does not accurately define epilepsy. Epilepsy is a neurological disorder characterized by recurrent seizures due to abnormal electrical activity in the brain.
Choice B rationale
Epilepsy involves abnormal electrical discharges in the brain, not in the muscles. Muscle contractions are a symptom of seizures, not the cause of epilepsy.
Choice C rationale
Epilepsy is not a single disease; it encompasses various conditions characterized by recurrent seizures. It is a spectrum of disorders with different causes and manifestations.
Choice D rationale
This choice accurately describes epilepsy as characterized by sudden, recurrent, and transient disturbances in brain function due to abnormal electrical discharges in the brain.
Correct Answer is A
Explanation
Step 1 is (120 mL ÷ 60 min) × 15 gtt/mL.
Step 2 is (2 mL/min) × 15 gtt/mL.
Step 3 is 30 gtt/min.
Final calculated answer is 30 gtt/min.
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