A patient diagnosed with Heart Failure would like the nurse to explain what the diagnosis means.
How will the nurse explain heart failure?
The heart muscle cannot pump effectively, causing a backup of blood.
Increased protein leads to reduced oncotic pressure and inability to pull the fluid into the system.
The hydrostatic pressure pushing fluids out of the capillary is lower than the oncotic pressure.
The decrease in venous pressure from the backup of blood increases hydrostatic pressure.
The Correct Answer is A
Choice A rationale
Heart failure occurs when the heart muscle cannot pump blood effectively, leading to a backup of blood and fluid buildup in the lungs, legs, and other parts of the body. This explanation is accurate and helps the patient understand the nature of their condition.
Choice B rationale
Reduced oncotic pressure due to increased protein levels is not a primary factor in heart failure. Heart failure is related to the heart’s inability to pump effectively, not protein levels affecting oncotic pressure.
Choice C rationale
Hydrostatic pressure pushing fluids out of the capillaries is not directly related to heart failure. In heart failure, the issue lies in the heart’s inability to pump blood efficiently, leading to fluid buildup rather than fluid being pushed out of capillaries.
Choice D rationale
The decrease in venous pressure from the backup of blood does not cause heart failure. Heart failure results from the heart’s inability to pump blood effectively, leading to increased pressure and fluid buildup, not a decrease in venous pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Ineffective health maintenance is appropriate due to the patient's inability to provide names and purposes of medications, indicating insufficient knowledge of their regimen.
Choice B rationale
Noncompliance implies intentional refusal of medication, which is not evident here as the patient is unaware rather than refusing.
Choice C rationale
Acute confusion is not indicated as the patient appears oriented and not disoriented.
Choice D rationale
Risk-prone health behavior is not appropriate as it suggests engagement in harmful activities, which is not described.
Correct Answer is D
Explanation
Choice A rationale
Vitamin E is an antioxidant and is not indicated to counteract the effects of warfarin. It does not have a role in reversing anticoagulation or managing bleeding. High doses of Vitamin E can actually interfere with clotting and potentially exacerbate bleeding.
Choice B rationale
Protamine Sulfate is an antidote for heparin, not warfarin. It works by neutralizing the effects of heparin, which is an anticoagulant that acts quickly to prevent clot formation. Warfarin works differently and requires a different antidote for its anticoagulant effect.
Choice C rationale
Calcium Gluconate is not an antidote for warfarin. It is typically used in cases of hypocalcemia and can stabilize cardiac membranes in hyperkalemia but has no effect on reversing warfarin-induced anticoagulation or bleeding.
Choice D rationale
Vitamin K is the correct antidote for warfarin. It counteracts the anticoagulant effects by promoting the synthesis of clotting factors that warfarin inhibits. Administering Vitamin K is standard practice in reversing the effects of warfarin and managing bleeding complications.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
