When teaching a patient with heart failure about ventricular remodeling, the nurse should recognize that additional teaching is needed if the patient makes which statement? "Remodeling:
1. Leads to progressive worsening of heart function."
2. Can be described as an enlargement of the pumping chamber."
3. Occurs with an increase in blood pressure and results in weight gain."
4. Develops primarily because the heart is pumping harder."
4
Rationale 1: This is a correct statement about remodeling and no additional teaching is required.
Rationale 2: This is a correct statement about remodeling and no additional teaching is required.
Rationale 3: The long-term activation of sympathetic nervous system and the renin-angiotensin-aldosterone system can lead to an increase in blood pressure and weight gain. This is a correct statement about remodeling and no additional teaching is required.
Rationale 4: The heart is not pumping harder but rather the contractility or elasticity of the left ventricle is decreased or stiffer in nature. This statement indicates more teaching is required.
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The patient is on a ventilator and has a heartbeat, but is brain dead. What should the nurse do?
a. Provide a private area to discuss organ donation. b. Explain that as long as the heart is beating, the patient is alive. c. Inform the family that the organs will be harvested when he is off the ventilator. d. Stress the importance of leaving the patient on the ventilator to harvest the corneas.
Which of the following physiological processes would be considered a positive feedback mechanism?
A) The release of antidiuretic hormone (ADH) from the posterior pituitary gland B) Shivering in response to low environmental temperature C) The platelet aggregation mechanism for closing minute ruptures in very small blood vessels during accidental injury D) Increased production of white blood cells (WBCs) in response to a microorganism
You are an obstetrical nurse who is providing care for a woman who gave birth by cesarean section a few hours ago. Knowing that the woman is likely to experience pain, you are providing patient education about pain
Which of the following statements should you include when teaching this patient about pain and about pain management? A) "When your pain crosses the line between being bearable and unbearable, I'll be able to give you some medication for it." B) "I'll teach you some techniques that you can use so that you'll be able to avoid using drugs to manage your pain." C) "When you feel like you're not able to manage your pain on your own, ring your call bell, and I can get you something for pain." D) "I'll be checking with you often, but please let me know as soon as you're starting to feel pain."
A client's record contains a notation that the client is orthopneic. Which question by the nurse would obtain the most useful information?
a. "About how far can you walk before it occurs?" b. "Does anyone else in your family have this too?" c. "How many pillows do you need to sleep on?" d. "When did you first notice this problem?"