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
Monitoring the weekly pulse is not sufficient for managing ventricular arrhythmias at home. Continuous or daily monitoring of vital parameters is more effective.
Choice B rationale
Monitoring daily fluid intake is essential for overall health but not directly related to the management of ventricular arrhythmias with propranolol (Inderal).
Choice C rationale
Daily blood pressure monitoring is crucial for patients on propranolol, as this medication can significantly lower blood pressure, and tracking it helps prevent hypotension.
Choice D rationale
Weekly weight monitoring is important for patients with heart conditions, but daily monitoring of blood pressure is more directly related to the management of ventricular arrhythmias with propranolol.
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.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.