This topic contains a solution. Click here to go to the answer

Author Question: A client has hypertension and asks the nurse how this condition can lead to heart failure. Which is ... (Read 30 times)

newbem

  • Hero Member
  • *****
  • Posts: 579
A client has hypertension and asks the nurse how this condition can lead to heart failure. Which is the best response by the nurse?
 
  1. Hypertension limits the ability of your heart to stretch before emptying, or afterload; your heart works harder and weakens.
  2. Hypertension causes resistance in your aorta, or afterload; your heart works harder and weakens.
  3. Hypertension causes resistance in your blood vessels, or afterload; your heart works harder and weakens.
  4. Hypertension limits the amount of blood entering your left ventricle, or afterload; your heart works harder and weakens.

Question 2

The nurse cautions the client receiving isosorbide dinitrate for treatment of angina that long-term use can lead to the development of which manifestation?
 
  1. Urinary retention
  2. Tachycardia
  3. Tolerance
  4. Hypotension



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

xiazhe

  • Sr. Member
  • ****
  • Posts: 331
Answer to Question 1

Correct Answer: 3
Rationale 1: The ability of the heart to stretch before emptying is known as preload, not afterload.
Rationale 2: Afterload refers to peripheral resistance, not to resistance in the aorta.
Rationale 3: The most common cause of increased afterload is an increase in peripheral resistance due to hypertension.
Rationale 4: Afterload refers to peripheral resistance, not to the amount of blood entering the left ventricle.
Global Rationale: The most common cause of increased afterload is an increase in peripheral resistance due to hypertension. The ability of the heart to stretch before emptying is known as preload, not afterload. Afterload refers to peripheral resistance, not to resistance in the aorta or the amount of blood entering the left ventricle.

Answer to Question 2

Correct Answer: 3
Rationale 1: Urinary retention is not associated with isosorbide dinitrate.
Rationale 2: Reflex tachycardia is an adverse effect of isosorbide dinitrate, but it is a short-term one.
Rationale 3: Tolerance is a common problem with the use of longer-acting organic nitrates. Clients often are instructed to remove the transdermal patch for 612 hours each day to delay development of tolerance to the drug.
Rationale 4: Hypotension is an adverse effect of isosorbide dinitrate, but it is dose related.
Global Rationale: Tolerance is a common problem with the use of longer-acting organic nitrates. Clients often are instructed to remove the transdermal patch for 612 hours each day to delay development of tolerance to the drug. Urinary retention is not associated with isosorbide dinitrate. Reflex tachycardia is an adverse effect of isosorbide dinitrate, but it is a short-term one. Hypotension is an adverse effect of isosorbide dinitrate, but it is dose related.




newbem

  • Member
  • Posts: 579
Reply 2 on: Jul 23, 2018
Wow, this really help


Sarahjh

  • Member
  • Posts: 370
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

Limit intake of red meat and dairy products made with whole milk. Choose skim milk, low-fat or fat-free dairy products. Limit fried food. Use healthy oils when cooking.

Did you know?

The human body's pharmacokinetics are quite varied. Our hair holds onto drugs longer than our urine, blood, or saliva. For example, alcohol can be detected in the hair for up to 90 days after it was consumed. The same is true for marijuana, cocaine, ecstasy, heroin, methamphetamine, and nicotine.

Did you know?

A seasonal flu vaccine is the best way to reduce the chances you will get seasonal influenza and spread it to others.

Did you know?

For about 100 years, scientists thought that peptic ulcers were caused by stress, spicy food, and alcohol. Later, researchers added stomach acid to the list of causes and began treating ulcers with antacids. Now it is known that peptic ulcers are predominantly caused by Helicobacter pylori, a spiral-shaped bacterium that normally exist in the stomach.

Did you know?

There are approximately 3 million unintended pregnancies in the United States each year.

For a complete list of videos, visit our video library