A patient asks the nurse what a diagnosis of heart failure means. Which of the following is the nurse's best response?

Your heart stops.

Your heart is pumping too much blood.

Your heart has an area of muscle that has died.

Your heart is not an efficient pump.

Answer and Explanation

The Correct Answer is D

Choice A reason: The statement "Your heart stops" is incorrect; heart failure does not mean the heart has stopped functioning.

Choice B reason: "Your heart is pumping too much blood" is not accurate; heart failure often means the heart cannot pump enough blood to meet the body's needs.

Choice C reason: While an area of heart muscle may die during a heart attack, this is not the defining characteristic of heart failure.

Choice D reason: The most accurate description of heart failure is that the heart is not pumping efficiently, which can lead to symptoms like fatigue and shortness of breath.

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Correct Answer is C

Explanation

Choice A reason: Respiratory alkalosis is typically associated with hyperventilation, which is not common in acute pulmonary edema.

Choice B reason: Metabolic acidosis can occur in pulmonary edema due to tissue hypoxia and lactic acid production, but respiratory acidosis is more directly related to the primary problem of gas exchange.

Choice C reason: Respiratory acidosis is likely in acute pulmonary edema due to impaired gas exchange and CO2 retention.

Choice D reason: Metabolic alkalosis is not typically associated with acute pulmonary edema and is less likely than respiratory acidosis in this context.

A. "I will take the Lasix in the morning." B. "I will drink lots of fluids with the Lasix." C. "I will count my radial pulse for one minute." D. "I will take it with each meal." E. "I will eat a banana daily."

Correct Answer is ["B","D"]

Explanation

Choice A reason: Taking Lasix in the morning is appropriate to avoid nocturia and sleep disturbances.

Choice B reason: Patients should be cautious with fluid intake when taking Lasix to avoid fluid overload, especially in heart failure.

Choice C reason: Counting the radial pulse is not directly related to Lasix administration but is a good practice for monitoring heart rate.

Choice D reason: Lasix should not be taken with each meal; it is usually taken once daily unless otherwise prescribed.

Choice E reason: Eating a banana daily is recommended to replenish potassium that may be lost due to the diuretic effect of Lasix.

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A patient asks the nurse what a diagnosis of heart failure means. Which of the following is the nurse's best response?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a client who has acute onset pulmonary edema and is experiencing dyspnea with low oxygen saturation rates. The nurse should recognize the client is at risk for which of the following acid-base imbalances?

Correct Answer is C

Explanation

Correct Answer is ["B","D"]

Explanation

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