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 A
Explanation
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.
Correct Answer is B
Explanation
Choice A rationale
Thiazide diuretics do not block the sodium pump. They act primarily on the distal convoluted tubule in the kidneys.
Choice B rationale
Thiazide diuretics block the chloride pump in the distal convoluted tubule, preventing the reabsorption of sodium and chloride, leading to increased urine output and decreased blood pressure.
Choice C rationale
Thiazide diuretics do not block the carbonic anhydrase pump. This action is associated with carbonic anhydrase inhibitors.
Choice D rationale
Thiazide diuretics do not block the potassium pump. They can cause potassium loss as a side effect, but this is not their primary mechanism of action.
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