Author Question: As the nurse completes a medical history on a client admitted with heart failure, which disease ... (Read 71 times)

stevenposner · **on:** Jul 23, 2018

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 · **Reply #1 on:** Jul 23, 2018

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.