The nurse reviews the lab test results of a patient who has heart failure (HF). Which test result would be most important for the nurse to report to the healthcare provider (HCP)?

Creatine kinase

Myoglobin

Troponin

Serum B-type natriuretic peptide (BNP)

Answer and Explanation

The Correct Answer is D

Choice A reason: Creatine kinase can be elevated in heart failure but is not as specific as BNP for this condition.

Choice B reason: Myoglobin is a muscle protein that can be released into the bloodstream after muscle injury, including heart muscle, but it is not as specific for heart failure as BNP.

Choice C reason: Troponin is a marker of heart muscle injury and can be elevated in heart failure, but BNP is more directly related to the diagnosis and severity of heart failure.

Choice D reason: Serum B-type natriuretic peptide (BNP) is specifically released by the ventricles in response to excessive stretching of heart muscle cells, making it a key marker for heart failure. Elevated levels of BNP are directly correlated with the severity of heart failure and are important for both diagnosis and management.

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Correct Answer is B

Explanation

Choice A reason: Encouraging adequate nutrition is important as patients with depression may have decreased appetite.

Choice B reason: Assuring the patient that everything will be fine may minimize their feelings and is not a therapeutic communication technique.

Choice C reason: Maintaining a safe milieu is essential for all patients, especially those with depression who may be at risk for self-harm.

Choice D reason: Using active listening skills is a key component of therapeutic communication and is essential in caring for patients with depression.

A. Weigh monthly. B. Weigh daily. C. Weigh twice a day. D. Weigh weekly.

Correct Answer is B

Explanation

Choice A reason: Weighing monthly is not frequent enough to monitor fluid status effectively in a patient with chronic heart failure.

Choice B reason: Weighing daily is recommended to detect early signs of fluid retention, which is crucial for patients with chronic heart failure.

Choice C reason: Weighing twice a day is not typically necessary unless specifically recommended by a healthcare provider for close monitoring.

Choice D reason: Weighing weekly may miss early signs of fluid retention and is not recommended for daily monitoring of fluid status in chronic heart failure.

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The nurse reviews the lab test results of a patient who has heart failure (HF). Which test result would be most important for the nurse to report to the healthcare provider (HCP)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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