A patient with class IV heart failure has been receiving care in the cardiac critical care unit and attempts to wean the patient from inotropic support have been unsuccessful

The care team has appraised the benefits and deficits of a ventricular assist device (VAD) and will present this option to the patient's family. When teaching the patient's family about this intervention, what description should the nurse provide?
A) "A VAD is inserted to supplement the heart's ability to pump blood from the heart to the rest of the body."
B) "A VAD regulates the electrical activity in the heart and coordinates the pumping action to increase efficiency."
C) "A VAD increases the size of the blood vessels downstream from the heart so that circulation is easier and more efficient."
D) "A VAD involves the insertion of a balloon into a major blood vessel to improve the strength and volume of circulation."


A

Nursing

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Which ethnic groups in the United States have higher rates of diabetes mellitus than non-Hispanic white people?

a. Pima Indians b. Alaskan Natives c. Cuban Americans d. Native Americans e. African Americans f. Mexican Americans

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A nurse is caring for a client with insomnia and the nurse is explaining the importance of sleep to the client. Which of the following roles is sleep supposed to play?

A) Stabilizing mood B) Eliminating fat accumulation C) Reducing protein synthesis D) Decreasing pain tolerance

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The nursing instructor is discussing health disparities with her community nursing class. The discussion includes the information that health disparities occur between groups other than the main population and specific ethnic groups

Where would these health disparities occur? A) Among men B) Among people with disabilities C) Among people who are bisexual D) Among the middle aged

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A frail client with multiple chronic medical conditions has a chronic, infected, malodorous wound. The client begins to cry when the nurse tries to explain to the client an aggressive ap-proach to wound care

The nurse should revise the plan to focus on a. better pain control so the client can tolerate the aggressive therapy. b. palliative care and quality of life. c. the client's emotional barrier to the recommended treatment. d. the possibility of eventual amputation.

Nursing