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 B
Explanation
Choice A rationale
Administering a non-steroidal anti-inflammatory drug (NSAID) is not a priority action for a patient who has received a narcotic analgesic. The priority should be to ensure the patient’s safety and prevent falls, which can occur due to the sedative effects of narcotics.
Choice B rationale
Putting side rails up and placing the bed in the lowest position is essential for patient safety. Narcotics can cause dizziness, drowsiness, and impaired coordination, increasing the risk of falls. Ensuring the bed is in the lowest position and side rails are up helps prevent injury if the patient tries to get up.
Choice C rationale
Encouraging fluids is beneficial for many patients, but it is not the priority action when a patient has received a narcotic analgesic. Hydration is important but secondary to ensuring the patient’s immediate safety.
Choice D rationale
Creating a restful, dark environment may help the patient rest, but it does not directly address the immediate safety needs of a patient who has received a narcotic analgesic. The focus should be on preventing falls and injury.
Correct Answer is D
Explanation
Choice A rationale
Chronic Obstructive Pulmonary Disease (COPD) is a progressive disease characterized by obstructed airflow from the lungs. While related to respiratory health, it is distinct from tuberculosis.
Choice B rationale
Bronchiectasis is a condition involving the permanent enlargement of parts of the airways of the lung, often caused by infection or other lung conditions but is different from tuberculosis.
Choice C rationale
Emphysema is a chronic lung condition where the alveoli (air sacs) are damaged, leading to breathing difficulties. This condition is usually associated with smoking and is distinct from tuberculosis.
Choice D rationale
Consumption is an old term for tuberculosis, reflecting the wasting away (consuming) nature of the disease due to the progressive weight loss and weakness it causes.
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