The nurse is creating a plan of care for a client with a cardiomyopathy. What priority goal should underlie most of the assessments and interventions that are selected for this client?

Absence of complications

Increased activity tolerance

Improved cardiac output

Adherence to the self-care program

Answer and Explanation

The Correct Answer is C

A. While preventing complications is important, it is a secondary goal that depends largely on maintaining adequate cardiac function.
B. Increased activity tolerance is a positive outcome but depends on improving cardiac output.
C. Improved cardiac output is the primary goal in managing cardiomyopathy because the heart's ability to pump effectively is impaired. Most assessments and interventions focus on optimizing cardiac function to maintain tissue perfusion.
D. Adherence to the self-care program supports management but is not the primary physiological goal guiding care.

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Correct Answer is A

Explanation

A. Edema is a common finding in chronic venous insufficiency due to poor venous return and fluid accumulation in the tissues.
B. Thick, deformed toenails are more commonly associated with arterial insufficiency or fungal infections.
C. Hair loss typically occurs with arterial insufficiency because of reduced arterial blood flow to the skin and hair follicles.
D. Dependent rubor (reddish discoloration when the limb is lowered) is a classic sign of arterial insufficiency, not venous insufficiency.

A. Right ventricular failure B. Fluid volume deficit C. Afterload reduction D. Mitral regurgitation

Correct Answer is D

Explanation

A. Right ventricular failure affects right-sided pressures such as CVP, not PAWP, which reflects left atrial pressure.
B. Fluid volume deficit would result in a low PAWP, not an elevated one.
C. Afterload reduction affects systemic vascular resistance, not directly related to increased PAWP.
D. Mitral regurgitation causes backflow of blood into the left atrium, increasing left atrial pressure and leading to an elevated PAWP (above 12 mm Hg), making this the correct answer.

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The nurse is creating a plan of care for a client with a cardiomyopathy. What priority goal should underlie most of the assessments and interventions that are selected for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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