Which of the following arrhythmias is associated with heart failure?
First-degree heart block
Atrial fibrillation
Ventricular tachycardia
Sinus bradycardia
Correct Answer : B,C
Choice A Reason:
First-degree heart block is a condition where the electrical signals in the heart are delayed but still reach the ventricles. It is generally considered benign and does not typically lead to heart failure. It is often asymptomatic and discovered incidentally on an ECG.
Choice B Reason:
Atrial fibrillation (AFib) is a common arrhythmia associated with heart failure. AFib causes the atria to beat irregularly and often rapidly, which can lead to poor blood flow and increased risk of stroke. In heart failure patients, AFib can exacerbate symptoms and worsen the prognosis due to the loss of atrial contraction and irregular ventricular response.
Choice C Reason:
Ventricular tachycardia (VT) is a serious arrhythmia that is often associated with heart failure. VT originates in the ventricles and can lead to hemodynamic instability and sudden cardiac death if not treated promptly. It is a common complication in patients with heart failure and cardiomyopathy.
Choice D Reason:
Sinus bradycardia is a slower than normal heart rate, typically less than 60 beats per minute. While it can occur in healthy individuals, especially athletes, it is not specifically associated with heart failure. In some cases, severe bradycardia can lead to symptoms of heart failure, but it is not a primary arrhythmia linked to the condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Allowing the client to control the timing and frequency of the therapy might seem beneficial, but it can lead to inconsistent participation and lack of progress. Structured therapy sessions are essential for rehabilitation, and while some flexibility is important, a completely client-controlled schedule may not provide the necessary consistency.
Choice B Reason:
Limiting visiting hours until the client begins to participate in therapy is not an effective approach. Social support from family and friends is crucial for the emotional well-being of the client and can actually motivate them to engage more in their rehabilitation efforts. Restricting visits could lead to increased feelings of isolation and resistance.
Choice C Reason:
Establishing a plan of care with the client that sets attainable goals is the most effective approach. Involving the client in their care plan fosters a sense of ownership and motivation. Setting realistic and achievable goals helps the client see progress, which can boost their confidence and willingness to participate in therapy.
Choice D Reason:
Informing the client that privileges are related to participation in therapy can be perceived as punitive and may not be effective in motivating the client. It is important to use positive reinforcement and encouragement rather than threats or restrictions to foster cooperation and engagement in the rehabilitation process.
Correct Answer is D
Explanation
Choice A Reason:
Monitoring the client's respiratory status and oxygen saturation is important but not the primary purpose of a hemodynamic monitoring system. Hemodynamic monitoring focuses on the cardiovascular system, including parameters like cardiac output, stroke volume, and systemic vascular resistance.
Choice B Reason:
Evaluating the client's renal function and electrolyte balance is crucial in overall patient care but is not the main focus of hemodynamic monitoring. Hemodynamic monitoring systems are designed to assess cardiovascular function rather than renal function.
Choice C Reason:
Monitoring the client's neurological status and intracranial pressure is essential in certain clinical situations, such as traumatic brain injury. However, this is not the primary purpose of hemodynamic monitoring, which is centered on cardiovascular assessment.
Choice D Reason:
The primary purpose of a hemodynamic monitoring system is to measure and assess the client's cardiovascular status and function. This includes monitoring parameters such as blood pressure, cardiac output, and tissue perfusion to ensure adequate organ perfusion and guide treatment decisions.
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