As the nurse completes a medical history on a client admitted ...

[stevenposner]

As the nurse completes a medical history on a client admitted with heart failure, which disease should the nurse associate with heart failure?
 
  1. Chronic obstructive pulmonary disease (COPD)
  2. Stroke
  3. Epilepsy
  4. Myocardial infarction

Question 2

The nurse is assessing a client with heart failure. Which finding is of greatest concern?
 
  1. Mitral murmur
  2. Diffuse wheezes
  3. Capillary refill of 2 seconds
  4. Clubbed nails

[coyin]

Answer to Question 1

Correct Answer: 4
Rationale 1: COPD can lead to right-sided heart failure, but is not the most common cause of heart failure in the United States.
Rationale 2: Stroke does not lead to heart failure.
Rationale 3: Epilepsy does not lead to heart failure.
Rationale 4: The most common cause of heart failure in the United States is a progressive weakening of the heart muscle related to myocardial ischemia.
Global Rationale: The most common cause of heart failure in the United States is a progressive weakening of the heart muscle related to myocardial ischemia. COPD can lead to right-sided heart failure, but is not the most common cause of heart failure in the United States. Stroke and epilepsy do not lead to heart failure.

Answer to Question 2

Correct Answer: 1
Rationale 1: Mitral stenosis is a common cause of heart failure. A mitral murmur could be indicative of mitral stenosis.
Rationale 2: Wheezes are associated with bronchial constriction, but not pulmonary edema.
Rationale 3: Capillary refill of 2 seconds is normal.
Rationale 4: Clubbed nails are a sign of impaired oxygenation, but are more commonly associated with respiratory problems, not heart failure.
Global Rationale: Mitral stenosis is a common cause of heart failure. A mitral murmur could be indicative of mitral stenosis. Wheezes are associated with bronchial constriction, but not pulmonary edema. Capillary refill of 2 seconds is normal. Clubbed nails are a sign of impaired oxygenation, but are more commonly associated with respiratory problems, not heart failure.

[stevenposner]

Excellent

[AmberC1996]

TYSM