The nurse evaluates an improvement in the patient’s heart failure (HF) status based on what assessment finding?
Improved mental status.
Using fewer pillows at night.
Increased skin turgor.
Heart rate regular.
The Correct Answer is B
Choice A rationale
Improved mental status can be a sign of better overall health but is not a specific indicator of improved heart failure status.
Choice B rationale
Using fewer pillows at night indicates reduced orthopnea, a common symptom of heart failure, suggesting that the patient’s heart failure status has improved.
Choice C rationale
Increased skin turgor indicates improved hydration status but is not a specific measure of heart failure improvement.
Choice D rationale
Heart rate regularity is important but does not directly indicate improved heart failure status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While nicotine use is a health concern, it does not directly relate to the safety of atorvastatin (Lipitor). However, smoking cessation is advisable for overall cardiovascular health.
Choice B rationale
Caffeine intake is not a primary concern related to the safety of atorvastatin. Monitoring other lifestyle factors like diet and exercise is more relevant.
Choice C rationale
Herbal therapy may interact with atorvastatin, but the primary safety concern is alcohol intake, which can increase the risk of liver damage when combined with atorvastatin.
Choice D rationale
Alcohol consumption is a significant concern when taking atorvastatin, as it can increase the risk of liver damage. Patients are advised to limit alcohol intake to prevent adverse effects. .
Correct Answer is D
Explanation
Choice A rationale
The auricle is an ear-shaped appendage on the surface of the atrium and does not separate the right and left halves of the heart. Its function is to increase the capacity of the atrium, allowing for more blood to be collected and passed to the ventricles.
Choice B rationale
Syncytia refer to a multinucleated cell that can result from the fusion of multiple cells, which is not a structure that separates the right and left sides of the heart. They are typically related to muscle tissue and coordinated contractions.
Choice C rationale
The Bundle of His is a collection of heart muscle cells specialized for electrical conduction that transmits the electrical impulses from the AV node to the point of the apex of the fascicular branches. It does not act as a separator between the right and left halves of the heart.
Choice D rationale
The septum is the structure that separates the right and left halves of the heart. It is a robust wall that divides the atria (interatrial septum) and the ventricles (interventricular septum), ensuring the segregation of oxygenated and deoxygenated blood.
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