The nurse is reviewing compensatory mechanisms with a patient in heart failure. What should the nurse include when providing this teraching? (Select all that apply.)

a. Urine output increases.
b. Muscle mass of the heart decreases.
c. Oxygen demand of the heart is lowered.
d. Epinephrine and norepinephrine are released.
e. Kidneys activate the renin-angiotensin-aldosterone system.
f. Heart muscles stretch to increase the force of myocardial contraction.


ANS: D, E, F
Epinephrine and norepinephrine are released, the renin-angiotensin-aldosterone system is activated, and heart muscles stretch. A. B. C. Muscle mass of the heart increases, urine output decreases, and the oxygen demand of the heart is increased.

Nursing

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