Which of the following clients is at a high risk for developing dilated cardiomyopathy?
A) A 17-year-old with a diving injury resulting in paraplegia
B) A 4-year-old child born with cerebral palsy and confined to a wheelchair
C) A 44-year-old noncompliant female who forgets to take her hypertensive medications
D) A 78-year-old patient with Alzheimer disease who received a third-degree burn following an oven fire

Question

Quizplus · Accepted Answer

In hypertension, the increased workload required to pump blood against an elevated arterial pressure in the aorta results in a progressive increase in LV muscle mass and need for coronary blood flow. The pressure overload causes hypertrophied cells to have greater width and length. Paraplegia, cerebral palsy, and Alzheimer disease do not increase the workload of the cardiac muscle per se.

Which of the Following Clients Is at a High Risk