The nurse is explaining to a client diagnosed with heart failure that the client's heart muscle has thickened on the right side and is not able to fill properly.
The nurse is explaining which of the following types of heart failure?

Right and left-sided diastolic.

Right-sided systolic and diastolic.

Right-sided diastolic.

Right-sided systolic.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Right-sided heart failure with thickened heart muscle refers specifically to the impaired filling capacity due to diastolic dysfunction. Diastolic dysfunction affects the filling phase, not the pumping phase. It may involve one side or both sides but is not explicitly described as right and left-sided diastolic in this context.

Choice B rationale

Right-sided systolic heart failure affects the pumping ability, while diastolic affects filling. Both conditions together do not explain the thickened myocardium impairing filling. A combination of systolic and diastolic failure typically includes both pumping and filling abnormalities rather than isolated thickening with poor filling.

Choice C rationale

Right-sided diastolic failure results from impaired ventricular relaxation and thickened myocardium, leading to reduced filling capacity. This type of failure involves the heart's inability to accommodate blood during diastole, consistent with the description of thickened heart muscle and poor filling on the right side.

Choice D rationale

Right-sided systolic failure involves impaired contractility and pumping of blood to the lungs, not poor filling caused by thickened muscle. Systolic dysfunction decreases the heart's output rather than affecting the filling phase described in this scenario.

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Correct Answer is A

Explanation

Choice A rationale

Medications, such as phosphodiesterase type-5 inhibitors (e.g., sildenafil), are typically the next line of treatment for erectile dysfunction (ED) after lifestyle modifications fail. These agents enhance blood flow to the penile tissues during sexual stimulation by inhibiting the breakdown of cyclic guanosine monophosphate, facilitating erectile function.

Choice B rationale

Negative-pressure devices, also known as vacuum erection devices, are considered third-line treatments and are typically used in clients for whom oral medications are contraindicated or have failed. These devices work by mechanically increasing blood flow to the penis but are less effective than pharmacological interventions.

Choice C rationale

Penile injections, such as alprostadil, are invasive and used as a later option when oral medications and devices are unsuccessful or contraindicated. These injections directly relax the smooth muscle to increase penile blood flow, but they are generally not first-line treatments.

Choice D rationale

Penis transplants are experimental and not recognized as a standard treatment for erectile dysfunction. This option is far from practical or feasible and is considered unsuitable for most clients, especially given the complexity of the condition.

A. Teaching the client preventive measures. B. Preventing progression to complications. C. Educating the client about the treatment. D. Providing pain management.

Correct Answer is B

Explanation

Choice A rationale

Teaching preventive measures, like proper hydration and hygiene, is integral for long-term UTI management but not the immediate clinical priority. Effective prevention helps reduce recurrence rates but does not address acute infection or associated complications during the current episode.

Choice B rationale

Preventing progression to complications takes priority in lower UTIs. This includes early and appropriate antibiotic therapy to inhibit bacterial proliferation and monitoring for symptoms suggestive of an ascending infection. Left untreated, lower UTIs can progress to pyelonephritis, a serious condition that increases morbidity.

Choice C rationale

Educating about treatment ensures compliance with the prescribed antibiotics and symptom management strategies. While necessary, client education is more aligned with secondary interventions after addressing the urgent need to prevent complications from the infection itself.

Choice D rationale

Pain management is important to alleviate discomfort and improve the client’s quality of life. However, addressing pain without resolving the underlying infection risks further complications. Thus, pain control, while valuable, is not the critical first-line intervention for preventing clinical deterioration. .

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The nurse is explaining to a client diagnosed with heart failure that the client's heart muscle has thickened on the right side and is not able to fill properly.The nurse is explaining which of the following types of heart failure?

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The nurse is explaining to a client diagnosed with heart failure that the client's heart muscle has thickened on the right side and is not able to fill properly.
The nurse is explaining which of the following types of heart failure?