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
Oral morphine typically reaches peak activity at around 45 minutes after administration. This allows time for the medication to be absorbed through the gastrointestinal tract and enter the bloodstream to provide pain relief.
Choice B rationale
10 minutes is too short for oral morphine to reach peak activity. This timeframe is more consistent with intravenous administration, which allows for rapid onset of action.
Choice C rationale
30 minutes is a bit too short for oral morphine to reach peak effect, although some patients may start to feel relief. However, peak plasma concentrations generally occur closer to 45-60 minutes.
Choice D rationale
While morphine can continue to have effects up to 60 minutes and beyond, the peak activity is typically observed around the 45-minute mark. Waiting for 60 minutes may underestimate the peak timeframe.
Correct Answer is A
Explanation
Choice A rationale
True, because antitussive agents, which are cough suppressants, can potentially lead to dependence due to their central nervous system effects. This risk is particularly concerning for patients with a history of addiction.
Choice B rationale
False, is incorrect because the potential for addiction does warrant caution when prescribing antitussive agents to patients with a history of addiction. .
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