A patient, age 68, has a long history of COPD and is admitted to the hospital with cor pulmonale. He says his doctor said his heart was failing and asks whether he is having a heart attack. Which explanation by the nurse is most correct?
a. You aren't having a heart attack, but your heart has been damaged by changes in your lungs caused by your respiratory disease.
b. It could be a heart attack, and when the heart is damaged it causes respiratory damage, too.
c. It isn't a heart attack, but your heart has gradually weakened over the years, causing respiratory disease.
d. It is probably a heart attack, since cor pulmonale means that the heart isn't getting enough blood and becomes too weak to pump effectively.
Question 2
An elderly patient with many health problems wants to save money to have a facelift. Which of the following is the most tactful and helpful comment a nurse can make?
A) Cosmetic surgery is fine at any age if a patient can afford it, and will do much more for the appearance than any cosmetic.
B) Cosmetic surgery is a waste of money for the elderly, but good cosmetics can be healthful and make you look much better.
C) Cosmetic surgery may be fine, but good cosmetics can be a less expensive and effective option.
D) Cosmetic surgery is inadvisable, and elderly patients should concentrate on inner beauty.
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