The healthcare provider (HCP) informs the licensed practical nurse/licensed vocational nurse (LPN/LVN) that the patient has cor pulmonale. The patient asks what this means. Which explanation by the nurse is most appropriate?
This means that both sides of your heart are weak and not pumping well.
This means that the left side of your heart is weak and failing.
This means that more testing is needed to determine what is wrong.
This means that the right side of your heart is weak and not pumping effectively.
The Correct Answer is D
Choice A reason: Cor pulmonale specifically refers to right-sided heart failure. It occurs due to an underlying lung disorder causing pulmonary hypertension (high pressures in the lungs). The right ventricle enlarges and pumps blood less effectively.
Choice B reason:Cor pulmonale does not involve the left side of the heart. It is primarily related to the right ventricle.
Choice C reason: While further testing may be necessary, it does not directly explain cor pulmonale.
Choice D reason:Cor pulmonale results from lung conditions causing pulmonary hypertension.The right ventricle becomes enlarged and less effective due to increased pressure in the pulmonary arteries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Anger towards a deceased spouse can be a sign of unresolved grief and may indicate complicated grief or depression, requiring further intervention.
Choice B reason: Reestablishing relationships is a positive step in coping with loss and suggests progress in managing grief.
Choice C reason: Although it's difficult, the effort to engage with the community is a positive sign of coping and does not typically indicate a need for further intervention.
Choice D reason: A lack of desire to eat due to the absence of a loved one can be a normal part of grieving, but if persistent, it may require intervention to address potential depression.
Correct Answer is D
Explanation
Choice A reason: While it may be beneficial for the client's mood, taking the client out of the facility does not directly address the sudden change in behavior.
Choice B reason: Rewarding the client for a change in behavior does not address the potential risks associated with a sudden change in mental status.
Choice C reason: Asking the client why their behavior has changed could be part of an assessment, but it is not an immediate safety intervention.
Choice D reason: Monitoring the client's whereabouts at all times is important as a sudden lift in depressive symptoms can sometimes precede a suicide attempt, and close observation is necessary.
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