Which explanation of diastolic dysfunction by the nurse would help clarify the physiological process for the patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "Your heart does not relax as well or as quickly as it should between beats.".
2. "You have a stiff, noncompliant heart.".
3. "The muscle of your heart does not stretch as well as it needs to.".
4. "Your irregular heartbeat keeps your heart from working as efficiently as it should.".
5. "Your obesity has caused your heart muscle to be infiltrated with fat.".
1,3,4
Rationale 1: Prolonged relaxation is a physiological change associated with diastolic dysfunction.
Rationale 2: The patient is not likely to understand this statement. Education should be provided at a level the patient can understand.
Rationale 3: Stiffness of the muscle is a component of diastolic dysfunction.
Rationale 4: Atrial fibrillation is commonly associated with diastolic dysfunction.
Rationale 5: This statement is not correct and implies blame on the patient.
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