A patient was admitted for terminal heart failure and is now eligible for a transplant. The family wants everything possible done to maintain life. Which procedure might be offered to the patient for this condition to increase the patient's quality of life?

Coronary artery bypass graft

Percutaneous coronary artery intervention

Nothing, because the patient is in terminal heart failure

Left ventricular assist device (LVAD)

Answer and Explanation

The Correct Answer is D

A. A coronary artery bypass graft is used to treat coronary artery disease but is not typically indicated for end-stage heart failure.
B. Percutaneous coronary intervention is also used for coronary artery disease, not for improving quality of life in terminal heart failure.
C. This option dismisses potential interventions that could improve quality of life, such as an LVAD.
D. An LVAD is a mechanical pump that assists the left ventricle in pumping blood, often used as a bridge to heart transplant or as a long-term solution to improve quality of life in patients with terminal heart failure.

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Correct Answer is C

Explanation

A. Deaths of patients with communicable diseases still need to be reported because tissue and organ viability must be assessed on a case-by-case basis.

B. Tissue donation is voluntary and requires consent from the patient or their legal representative.

C. Organ donation can be authorized by a client's surrogate if the client has not previously given or refused consent. This allows for the surrogate to make decisions in line with the client’s wishes or best interests.

D. While facilities may have committees involved in the process, reporting is to organ procurement organizations, not solely to a facility's committee.

A. "Perhaps you should discuss this with your physician." B. "I recommend you exercise daily and avoid smoking to decrease your risk." C. "Tell me more about these fears of dying from a heart attack." D. "Of course you aren't going to die, at least not in the immediate future."

Correct Answer is C

Explanation

A. Referring the patient to the physician without addressing the concern may make the patient feel dismissed.

B. While lifestyle changes are important, this response does not address the patient’s emotional concern directly.

C. Encouraging the patient to express their fears allows the nurse to provide emotional support and address any misconceptions or anxieties, which is crucial for holistic care.

D. This response could be seen as dismissive and may not address the patient’s underlying concerns or fears.

View Question and Answer

A nurse is caring for a client in the emergency department (ED).

<div id="exhibits">Exhibits</div>

The nurse is planning care for the client. For each potential prescription, indicate whether it is an anticipated (high priority), nonessential (low priority), contraindicated(unrelated).

Select one or more in each option.

View Question and Answer

A nurse is caring for a client who has heart failure.

<div id="exhibits">Exhibits</div>

For each potential provider's prescription, click to specify if the prescription is essential (high priority) non-essential (low priority) or contraindicated(unrelated) for the client.

View Question and Answer

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A patient was admitted for terminal heart failure and is now eligible for a transplant. The family wants everything possible done to maintain life. Which procedure might be offered to the patient for this condition to increase the patient's quality of life?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a class about organ donation. Which of the following information should the nurse include?

Correct Answer is C

Explanation

A client who has coronary artery disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A patient is having a cardiac evaluation to assess for possible heart failure and valvular disease. Which study best identifies heart function and measures the size of the cardiac chambers?

Which of the following describes a situation in which the blood pressure is severely elevated and there is evidence of actual target organ damage?

A nurse is caring for a client who has heart failure and a potassium level of 2.4 mEq/L. The nurse should identify which of the following medications as the cause of the client's low potassium level?

While close family members are visiting, a patient has a respiratory arrest, and resuscitation is started. Which action by the nurse is best?

A nurse is performing cardiopulmonary resuscitation (CPR) for an adult client who is unresponsive. The nurse should evaluate the client's circulation by palpating which of the following pulses?

A nurse is caring for a client who has heart failure. <div id="exhibits">Exhibits</div> For each potential provider's prescription, click to specify if the prescription is essential (high priority) non-essential (low priority) or contraindicated(unrelated) for the client.