An 88-year-old patient with heart failure has progressed to Stage D and is hospitalized for the third time in a month. The nurse will expect to discuss which topic with the patient's family?
A) Antidysrhythmic medications
B) End-of-life care
C) Heart transplantation
D) Implantable mechanical assist devices

Question

Quizplus · Accepted Answer

Patients in Stage D heart failure have advanced structural heart disease. For eligible patients, the best long-term solution is heart transplantation, but this patient probably is not eligible, given his advanced age. End-of-life care should be discussed. Antidysrhythmic medications are not indicated and may make symptoms worse. An implantable mechanical assist device is used in patients awaiting heart transplantation.

An 88-Year-Old Patient with Heart Failure Has Progressed to Stage