The nurse evaluates an improvement in the patient’s heart failure (HF) status based on what assessment finding?
Improved mental status.
Using fewer pillows at night.
Increased skin turgor.
Heart rate regular.
The Correct Answer is B
Choice A rationale
Improved mental status can be a sign of better overall health but is not a specific indicator of improved heart failure status.
Choice B rationale
Using fewer pillows at night indicates reduced orthopnea, a common symptom of heart failure, suggesting that the patient’s heart failure status has improved.
Choice C rationale
Increased skin turgor indicates improved hydration status but is not a specific measure of heart failure improvement.
Choice D rationale
Heart rate regularity is important but does not directly indicate improved heart failure status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Sympathetic stimulation typically increases the depth and rate of respirations to enhance oxygen delivery to tissues during stress or physical activity.
Choice B rationale
Sympathetic stimulation does not directly increase lung perfusion. It primarily affects the airways to increase airflow.
Choice C rationale
Sympathetic stimulation increases the respiratory rate by activating the respiratory centers in the brain, preparing the body for increased oxygen demand during stress or physical activity.
Choice D rationale
Sympathetic stimulation does not decrease the respiratory rate. It typically increases both the rate and depth of respirations to meet the body's increased oxygen needs. .
Correct Answer is ["C","D","E"]
Explanation
Choice A rationale
Analyzing data collected is part of the assessment phase, not the intervention phase.
Choice B rationale
Collecting a nursing history is part of the assessment phase of the nursing process, not the intervention phase.
Choice C rationale
Determining medication effectiveness is a critical aspect of the intervention phase, as it assesses the therapeutic outcomes of the administered drugs.
Choice D rationale
Documenting the medication is a key action in the intervention phase to ensure accurate and up-to-date patient records and safe administration.
Choice E rationale
Administering the medication is a direct intervention related to drug therapy and is part of the intervention phase.
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