When planning care for a cardiac patient, the nurse knows that in response to an increased workload, the cardiac cells will
increase in number
increase in excitability
decrease in length
increase in size
The Correct Answer is D
A. increase in number: Cardiac myocytes in the adult are largely terminally differentiated, so they do not appreciably multiply (hyperplasia) in response to increased workload.
B. increase in excitability: Increased workload causes structural and functional adaptation (hypertrophy) rather than a primary increase in membrane excitability; excitability changes are more a feature of pathological electrical remodeling.
C. decrease in length: Cells do not shorten as an adaptive response to increased workload; they grow (change in size/shape) rather than decrease in length.
D. increase in size: Cardiac muscle responds to increased workload by hypertrophy (an increase in cell size) to generate greater contractile force.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. regeneration: Regeneration replaces lost cells with the same cell type (restores normal tissue) and usually does not produce a scar when full regeneration occurs.
B. remodeling: Remodeling is the maturation and reorganization of the repair tissue (collagen), which shapes the scar but is part of the healing process rather than the initial cause of scarring.
C. granulation: Granulation tissue is rich in new capillaries and fibroblasts and is a stage in healing that precedes scar formation, but granulation itself is not the final scar.
D. fibrous connective tissue repair: Scar formation results from replacement of normal tissue by fibrous (collagenous) connective tissue-i.e., fibrous connective tissue repair (repair rather than regeneration).
Correct Answer is E
Explanation
A. continually divide throughout life: This describes labile cells (e.g., epithelial cells of skin, GI tract) - not facultative mitotic cells.
B. kidney cells are facultative mitotic cells: Many renal epithelial cells (e.g., tubular cells) are stable/facultative - they do not constantly divide but can re-enter the cell cycle after injury.
C. replaced by fibrous scarring after trauma: If injury is severe and regeneration fails, even facultative cells may be replaced by scar tissue, but this is not the defining property of facultative mitotic cells.
D. divide when required: Correct description of facultative (stable) cells - they remain quiescent normally but divide when needed (e.g., after injury).
E. Two answers are correct: Both B and D are correct statements about facultative mitotic cells.
F. None are correct: Some choices (B and D) are correct.
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