A client with an exacerbation of heart failure is experiencing ...

[tingc95]

A client with an exacerbation of heart failure is experiencing fluid volume overload. The nurse understands that which regulator of blood pressure will most likely be secreted during this exacerbation?
 
  1. Renin
  2. Atrial natriuretic peptide (ANP)
  3. Antidiuretic hormone (ADH)
  4. Aldosterone

Question 2

A nurse is preparing to administer a medication that will cause constriction of the arteries. The nurse expects that which vital sign parameter will be monitored most closely after administration of this medication?
 
  1. Respiratory rate
  2. Blood pressure
  3. Temperature
  4. Pulse rate

[blakcmamba]

Answer to Question 1

Correct Answer: 2
Rationale 1: Renin is released by the kidneys when blood pressure falls, not rises.
Rationale 2: ANP is secreted by specialized cells in the right atrium when large increases in blood volume produce excessive stretch on the atrial wall.
Rationale 3: ADH is released by the posterior pituitary gland when blood pressure falls or when the osmotic pressure of the blood increases.
Rationale 4: Aldosterone is released from the adrenal gland when blood pressure falls.
Global Rationale: ANP is secreted by specialized cells in the right atrium when large increases in blood volume produce excessive stretch on the atrial wall. Renin is released by the kidneys when blood pressure falls, not rises. ADH is released by the posterior pituitary gland when blood pressure falls or when the osmotic pressure of the blood increases. Aldosterone is released from the adrenal gland when blood pressure falls.

Answer to Question 2

Correct Answer: 2
Rationale 1: The respiratory rate should be unaffected.
Rationale 2: If arteries constrict, their inside diameter will become smaller, and create more resistance and higher blood pressure.
Rationale 3: The temperature should be unaffected.
Rationale 4: The pulse rate is not the vital sign parameter that will be most affected.
Global Rationale: If arteries constrict, their inside diameter will become smaller, and create more resistance and higher blood pressure. The respiratory rate and temperature should be unaffected. The pulse rate is not the vital sign parameter that will be most affected.

[tingc95]

Thank you!

[blakcmamba]

Always glad to help...