Author Question: The patient has edema resulting from heart failure (HF) in both ankles. The nurse interprets this to ... (Read 23 times)

Alainaaa8 · **on:** Jul 23, 2018

The patient has edema resulting from heart failure (HF) in both ankles. The nurse interprets this to mean the hydrostatic pressure is higher than what opposing pressure?

A) Pulse pressure
B) Edema pressure
C) Fluid pressure
D) Oncotic pressure

Question 2

A patient is taking chloroquine (Aralen) for rheumatoid arthritis. What problem reported by the patient would the nurse suspect may be an adverse reaction of the medication?

A) I have to urinate all the time.
B) Sometimes I have blurred vision.
C) I have tingling in my arms and legs.
D) Sometimes I feel like I am off balance.

Ashley I · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
Hydrostatic pressure pushing fluid out of the capillary is soon higher than the oncotic pressure that is trying to pull the fluid back into the vessel, causing fluid to be lost into the tissues. This shift of fluid accounts for the edema seen in association with HF. This transfer of fluid in the capillaries, called the capillary fluid shift, is carefully regulated by a balance between hydrostatic (fluid pressure) forces on the arterial end of the capillary and oncotic pressure (the pulling pressure of the large, vascular proteins) on the venous end of the capillary. Pulse pressure has nothing to do with edema. Edema pressure and fluid pressure do not exist.

Answer to Question 2

B
Feedback:
Chloroquine (Aralen) can cause ocular toxicity with blurring of vision, color vision changes, corneal damage, and blindness. Increased urination, tingling, and numbness are signs of hyperkalemia and hypokalemia. Loss of balance can be caused by auditory damage due to drug toxicity.