A nursing instructor is conducting a class on heart failure and ...

[Cooldude101]

A nursing instructor is conducting a class on heart failure and the events that occur. The instructor describes which of the following as a result of increases in neurohormonal activity that occur with heart failure? Select all that apply.
 
  A) Decreased secretion of catecholamines
  B) Remodeling of the cardiac muscle cells
  C) Hypertrophy of the heart
  D) Increased need for oxygen
  E) Cardiac necrosis

Question 2

A client taking warfarin asks the nurse about using herbal remedies. Which of the following would the nurse instruct the client to avoid? Select all that apply.
 
  A) Chamomile
  B) St. John's wort
  C) Ginkgo biloba
  D) Ginger
  E) Ginseng

[bobsmith]

Answer to Question 1

Ans: B, C, D, E
Feedback:
Increased catecholamines lead to increases in neurohormonal activity that cause remodeling of the cardiac muscle cells, leading to hypertrophy of the heart, increased need for oxygen, and cardiac necrosis, which worsen the heart failure.

Answer to Question 2

Ans: A, B, C, D, E
Feedback:
Warfarin, a drug with a narrow therapeutic index, has the potential to interact with many herbal remedies. For example, warfarin should not be combined with any of the following substances, because they may have additive or synergistic activity and increase the risk for bleeding: celery, chamomile, clove, dong quai, feverfew, garlic, ginger, ginkgo biloba, ginseng, green tea, onion, passionflower, red clover, St. John's wort, and turmeric.

[Cooldude101]

TY

[bobsmith]

You're welcome