Cardiac bed is prepared for heart disease patients to?

RUHS, Jaipur, PB B.Sc Nursing Entrance-2021

Medical & Surgical Nursing

Medium

Appeared in: RUHS, Jaipur, PB B.Sc Nursing Entrance-2021

Explanation

A cardiac bed combines two key goals: relieving breathing difficulty (dyspnea) and aiding the patient's overall recovery.
The primary method is placing the patient in a High-Fowler's or orthopneic position, which uses gravity to improve lung expansion and reduce the workload on the heart.
This position decreases venous return to the heart (preload), which lessens cardiac strain.
By ensuring comfort and easy access to necessities, the bed setup conserves the patient's energy, which is a critical component of recovery from a cardiac event.

Option A: This is a primary purpose of a cardiac bed, but it is incomplete. The setup also aims to reduce cardiac workload and promote overall recovery.
Option B: This is a valid goal, but it is less specific than relieving dyspnea, which is the most immediate and critical intervention addressed by the cardiac bed's positioning.
Option C: This statement is too vague and general. While healing is the ultimate outcome, the cardiac bed has more immediate and specific physiological purposes.

Clinical Relevance

Nursing practice connection: Knowing The purpose and preparation of a cardiac bed for patients with heart disease helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Properly positioning a patient with heart failure can rapidly alleviate symptoms of dyspnea and anxiety, reducing the strain on the heart and preventing complications like acute pulmonary edema.
Nurses must be vigilant in monitoring vital signs, oxygen saturation, and the patient's response to positioning, as changes may indicate worsening heart failure.
What if? If a patient in a cardiac bed becomes hypotensive, the nurse's immediate action should be to lower the head of the bed to a semi-Fowler's or flat position to increase venous return and improve blood pressure.

How to Approach the Question

First, identify the key term in the question: 'cardiac bed'.
Recall the primary reasons for using this specific bed setup for patients with heart disease.
Think about the main symptoms of heart failure, particularly dyspnea, and how positioning can affect it.
Evaluate each option. Notice that 'Relieve dyspnea' and 'Assist in recovery' are both correct but address different aspects of care.
Look for an option that synthesizes these multiple correct goals.
Select the most comprehensive option that includes both the immediate physiological benefit (relieving dyspnea) and the broader goal (assisting recovery).

Concept Tested & Keywords

Concept Tested: The purpose and preparation of a cardiac bed for patients with heart disease.
Stem keywords: Cardiac bed, heart disease patients
Lead-in keywords: to
Negative lead-in flag: false

QfJGBzudzcnWmMaR1Eafox

E6 Medicine Davidson Principles Practice 24e p. 485-487

E6 Ghai Essential Pediatrics(pp 26-904 of 913) p. 424-426

E6 Nursing Brunner Adult Health 3SA Vol 1 Part 3 p. 40-42