Question

When teaching a patient with heart failure about ventricular remodeling, the nurse should recognize that additional teaching is needed if the patient makes which statement? "Remodeling:

1. Leads to progressive worsening of heart function."
2. Can be described as an enlargement of the pumping chamber."
3. Occurs with an increase in blood pressure and results in weight gain."
4. Develops primarily because the heart is pumping harder."

Answer 1

The patient needs additional teaching if they believe remodeling develops primarily because the heart is pumping harder; rather, it is a response to stress or injury to the heart leading to changes in size, shape, and function.

Step-by-step explanation:

Additional teaching is needed if a patient with heart failure makes the statement that "Remodeling develops primarily because the heart is pumping harder." This statement is incorrect because while ventricular remodeling can lead to an enlargement of the pumping chamber, and it generally leads to a progressive worsening of heart function, it does not develop primarily because the heart is pumping harder. Instead, ventricular remodeling is often a response to injury or stress to the heart muscle, leading to changes in the size, shape, and function of the heart over time. Ventricular remodeling is associated with negative outcomes in heart failure, and understanding this concept is essential for proper disease management.