Which disorder would the nurse recognize as the likely cause of right heart failure (cor pulmonale)?

Upper GI bleeding

Chronic obstructive pulmonary disease (COPD)

Liver failure

Renal failure

Answer and Explanation

The Correct Answer is B

Choice A reason: Upper GI bleeding is not a direct cause of right heart failure (cor pulmonale). While severe GI bleeding can lead to other complications such as anemia or shock, it does not typically result in cor pulmonale.

Choice B reason: Chronic obstructive pulmonary disease (COPD) is a primary cause of cor pulmonale. COPD leads to chronic hypoxia, which increases pressure in the pulmonary arteries (pulmonary hypertension). The right ventricle of the heart must work harder to pump blood through these high-pressure arteries, eventually leading to right heart failure.

Choice C reason: Liver failure can lead to various systemic complications such as fluid imbalance and electrolyte disturbances, but it is not a direct cause of right heart failure (cor pulmonale). Cor pulmonale is specifically related to pulmonary conditions that increase right ventricular workload.

Choice D reason: Renal failure, while serious and capable of causing cardiovascular complications due to fluid overload and hypertension, is not typically linked to the development of cor pulmonale. The primary cause of cor pulmonale is chronic lung disease like COPD, which directly affects the pulmonary vasculature.

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Correct Answer is A

Explanation

Reason: Blood sugar monitoring is a necessary intervention for patients with pancreatitis because the pancreas plays a critical role in regulating blood sugar levels through the production of insulin and glucagon. Inflammation or damage to the pancreas can lead to impaired insulin secretion and glucose metabolism, potentially causing hyperglycemia (high blood sugar levels). Therefore, monitoring blood sugar is essential to manage and prevent complications associated with pancreatitis.

A. Make decisions about health and lifestyle modifications to manage MS B. Cure the disease C. Maintain or improve muscle strength and mobility D. Maintain urinary continence E. Maintain independence in performing ADLs

Correct Answer is ["A","C","D","E"]

Explanation

Choice A reason: The nurse would include making decisions about health and lifestyle modifications to manage MS because this helps the patient to make informed choices that can alleviate symptoms and improve their quality of life. Modifying aspects such as diet, exercise, and stress management can play a significant role in managing the disease and preventing relapses.

Choice B reason: Curing the disease is not currently a feasible outcome for multiple sclerosis, as there is no known cure. The focus of the care plan is typically on managing symptoms, slowing the progression of the disease, and improving the patient's quality of life rather than curing the disease.

Choice C reason: Maintaining or improving muscle strength and mobility is crucial for patients with MS, as the disease often affects muscle control and strength. Including this outcome in the care plan helps to reduce the risk of falls, improve the patient's ability to perform daily tasks, and enhance overall physical function.

Choice D reason: Maintaining urinary continence is an important aspect of care for MS patients, as the disease can affect bladder control. Including this outcome helps to ensure the patient's comfort and dignity, prevent urinary tract infections, and improve their quality of life.

Choice E reason: Maintaining independence in performing activities of daily living (ADLs) is essential for patients with MS to ensure they can continue to perform tasks such as bathing, dressing, and eating. This outcome supports the patient's self-esteem and promotes a sense of autonomy.

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Which disorder would the nurse recognize as the likely cause of right heart failure (cor pulmonale)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A necessary intervention for patients with pancreatitis is blood sugar monitoring.

Correct Answer is A

Explanation

Which outcome would the nurse include in the care plan for a patient with multiple sclerosis (MS)? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

The nurse identifies which patient condition may be treated with a tissue plasminogen activator?

In any clinical setting, which health care team member is responsible for developing an individualized plan of care that includes nursing diagnoses, interventions, and outcomes, including the patient's self-management care plan?

The health care provider prescribes IV vancomycin for a patient with pneumonia. Which priority action should the nurse perform before the first dose of the antibiotic?

A high blood level of which substance causes hepatic coma?

A patient is being admitted with a diagnosis of Cushing syndrome. Which three findings will the nurse expect during the assessment?