A client with pulmonary hypertension asks the nurse to explain the heart changes that can occur with this disorder. Which is the best response?
A) "I will ask your physician to discuss this with you."
B) "Blood pressure is high as it leaves the heart."
C) "The right side of the heart enlarges as pressure backs from the lungs."
D) "The left side of the heart is not pumping well and blood backs into the lungs."
C
Feedback:
In primary pulmonary hypertension, there is increased resistance and pressure in the pulmonary vascular bed, which places strain on the right ventricle and causes enlargement. To increase understanding of a disorder, the nurse should take time to answer questions presented. The blood pressure is highest in the pulmonary arteries and right ventricle of the heart, not on the left side of the heart or where the blood enters the general circulation.
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