A 79-year-old patient is in a heart failure clinic. Which findings would the nurse evaluate as indicating a poor prognosis for this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. New York Heart Association (NYHA) class I assignment
2. Low ejection fraction
3. Low sodium levels
4. Sinus bradycardia without ectopy
5. Low exercise capacity
2,3,5
Rationale 1: The higher NYHA classes reflect a higher risk of mortality.
Rationale 2: A low ejection fraction indicates the heart is failing, as less blood is ejected by the heart and more blood stays in the heart. This is an ominous finding.
Rationale 3: Hyponatremia is associated with a poor prognosis in older adults.
Rationale 4: Ventricular dysrhythmias and conduction system delays are associated with a poor prognosis.
Rationale 5: A diminishing ability to tolerate activity is an indicator of worsening heart failure.
You might also like to view...
Multiple piercings up the penile shaft is known as which of the following?
a. Prince Albert c. dydoe b. frenum ladder d. ampallang
What are results of managed care backlash?
1 . Delay of payment or nonpayment for services provided 2 . Programs saying no to more treatment 3 . Higher premiums to consumers 4 . Lower co pays and deductibles A) 1, 2 B) 1, 3 C) 2, 4 D) 3, 4
After an EGD, the client may not have food or fluids until the gag reflex returns
Indicate whether the statement is true or false
The mother of an infant with multiple anomalies tells the nurse that she had a viral infection in the beginning of her pregnancy. Which viral infection is associated with fetal anomalies?
a. Measles b. Roseola c. Rubella d. Herpes simplex virus (HSV)