A nurse is assessing a client who has restrictive cardiomyopathy (RCM). Which of the following statements should the nurse cue in the client?

Thickening of the walls of the ventricles.

Stretching of the ventricles.

Thickening of the ventricular walls and septum.

When the ventricular tissue becomes fibrous and fatty.

Answer and Explanation

The Correct Answer is D

Choice A reason:

Thickening of the walls of the ventricles is not typically associated with restrictive cardiomyopathy (RCM). This condition is more characteristic of hypertrophic cardiomyopathy (HCM), where the heart muscle becomes abnormally thick, making it harder for the heart to pump blood. In RCM, the walls of the ventricles are usually not thickened but become rigid due to fibrosis or infiltration, which restricts the heart’s ability to fill with blood during diastole.

Choice B reason:

Stretching of the ventricles is more commonly seen in dilated cardiomyopathy (DCM), not restrictive cardiomyopathy. In DCM, the heart’s ventricles become enlarged and weakened, which impairs the heart’s ability to pump blood efficiently. RCM, on the other hand, involves stiffening of the ventricular walls without significant dilation.

Choice C reason:

Thickening of the ventricular walls and septum is a hallmark of hypertrophic cardiomyopathy (HCM), not restrictive cardiomyopathy. In HCM, the thickened walls can obstruct blood flow and lead to various complications. RCM is characterized by the stiffening of the ventricular walls due to fibrosis or infiltration, which restricts diastolic filling.

Choice D reason:

When the ventricular tissue becomes fibrous and fatty is the correct description of restrictive cardiomyopathy (RCM). In RCM, the heart’s ventricles become stiff and less elastic due to fibrosis (scarring) or infiltration by abnormal substances, such as amyloid proteins. This rigidity impairs the heart’s ability to fill properly during diastole, leading to symptoms of heart failure

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

Explanation

Choice A Reason:

Acetaminophen is often used to manage pain and fever associated with pericarditis. It is a common analgesic and antipyretic that helps alleviate discomfort without causing significant gastrointestinal side effects. However, it does not have anti-inflammatory properties, so it is typically used in conjunction with other medications that address inflammation.

Choice B Reason:

Amiodarone is an antiarrhythmic medication used to treat and prevent various types of serious irregular heartbeats, such as ventricular tachycardia or ventricular fibrillation. It is not typically used for treating pericarditis, as it does not address the inflammation or pain associated with the condition.

Choice C Reason:

Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that is effective in reducing inflammation and pain associated with pericarditis. NSAIDs are commonly prescribed for pericarditis to help manage symptoms and reduce inflammation. Indomethacin, along with other NSAIDs like ibuprofen, is often part of the first-line treatment for this condition.

A. Conivaptan hydrochloride 20 mg IV over 30 minutes STAT B. Vasopressin 10 mcg PO daily C. Sodium chloride tablets 1 g PO three times daily D. Tolvaptan 30 mg PO twice daily

Correct Answer is B

Explanation

Choice A Reason:

Conivaptan hydrochloride is a vasopressin receptor antagonist used to treat hyponatremia in patients with SIADH. It works by blocking the action of vasopressin, thereby promoting water excretion without significant loss of sodium. This helps to correct the water imbalance caused by SIADH. Conivaptan is typically administered intravenously and is effective in increasing serum sodium levels.

Choice B Reason:

Vasopressin, also known as antidiuretic hormone (ADH), is contraindicated in patients with SIADH because it exacerbates the condition. SIADH is characterized by excessive release of ADH, leading to water retention and hyponatremia. Administering vasopressin would further increase water reabsorption in the kidneys, worsening the hyponatremia.

Choice C Reason:

Sodium chloride tablets are used to manage hyponatremia in SIADH by increasing sodium intake. This helps to counteract the dilutional hyponatremia caused by excessive water retention. Sodium chloride tablets are often prescribed alongside fluid restriction to help raise serum sodium levels.

Choice D Reason:

Tolvaptan is another vasopressin receptor antagonist used to treat hyponatremia in SIADH. It works similarly to conivaptan by blocking the action of vasopressin, promoting water excretion, and increasing serum sodium levels. Tolvaptan is typically administered orally and is effective in managing SIADH.

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A nurse is assessing a client who has restrictive cardiomyopathy (RCM). Which of the following statements should the nurse cue in the client?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer medications to a client who has pericarditis. Which of the following medications should the nurse anticipate to his client? (Select All that Apply)

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

Explanation

A nurse is preparing to administer medications to a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following medications should the nurse question?

Correct Answer is B

Explanation

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