A patient is in systolic heart failure. Which description best fits the state of the left ventricle?
Thin and strong
Thick and weak
Thin and weak
Thick and strong
The Correct Answer is C
A. A thin and strong left ventricle is not typical of systolic heart failure.
B. A thick and weak ventricle is more characteristic of diastolic heart failure (impaired relaxation and filling).
C. Systolic heart failure involves impaired contraction of the left ventricle, which often becomes thin and weak due to ventricular dilation and loss of contractile strength.
D. A thick and strong ventricle is not typical of heart failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Specific gravity changes relate to kidney function and hydration status, not directly to right-sided heart failure.
B. Heparin levels are related to anticoagulation therapy, not heart failure status.
C. BNP levels decrease when heart failure improves; decreased BNP is not expected in acute heart failure.
D. BNP is released in response to ventricular stretch and volume overload; it increases in acute heart failure as the heart struggles to manage fluid overload.
Correct Answer is C
Explanation
A. Trendelenburg position (head lower than feet) can increase intracranial pressure and is contraindicated.
B. Continuous rotation may increase ICP due to frequent position changes and is generally avoided.
C. Elevating the head of the bed to 30 degrees promotes venous drainage from the brain, helping reduce intracranial pressure while maintaining cerebral perfusion.
D. Keeping the head flat can impair venous drainage and increase ICP.
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