Medical Surgical Cardiomyopathy #4

Question

A client taking chemotherapy treatments has been informed of the risk of cardiomyopathy. The client is told to watch for and report which symptoms indicating potential cardiomyopathy?
Select all that apply.

Answers

  1. Ankle edema
    • Rationale:

      This answer is correct because ankle edema is a sign of cardiomyopathy and the associated heart failure. Other signs and symptoms of cardiomyopathy include shortness of breath, exertional chest pain, fatigue, dizziness, irregular heart rhythms, and heart murmurs.

  2. Hypotension
    • Rationale:

      This answer is not correct because hypertension (not hypotension) is most associated with cardiomyopathy and the associated heart failure. Other signs and symptoms of cardiomyopathy include ankle edema, shortness of breath, exertional chest pain, fatigue, dizziness, irregular heart rhythms, and heart murmurs.

  3. Shortness of breath
    • Rationale:

      This answer is correct because shortness of breath is a sign of cardiomyopathy and the associated heart failure. Other signs and symptoms of cardiomyopathy include ankle edema, exertional chest pain, fatigue, dizziness, irregular heart rhythms, and heart murmurs.

  4. Rash on the abdomen
    • Rationale:

      This answer is not correct because a rash is not associated with cardiomyopathy. Signs and symptoms of cardiomyopathy include exertional chest pain , ankle edema, fatigue, dizziness, irregular heart rhythms, and heart murmurs.

  5. Exertional chest pain
    • Rationale:

Overview

Signs and symptoms of cardiomyopathy include ankle edema, shortness of breath, exertional chest pain, fatigue, dizziness, irregular heart rhythms, and heart murmurs.

Explanation

Learning Outcomes

Cardiomyopathy is a condition where the heart muscle or myocardium become enlarged, thickened, and/or unable to pump properly. There are various causes for this condition. Causes include idiopathic, valvular disease, hypertension, myocardial infarction, diabetes, thyroid disease, alcoholism, and exposure to certain toxins and drugs, such as cocaine, amphetamine, and some cancer drugs have been known to cause dilated cardiomyopathy. Signs and symptoms of cardiomyopathy include ankle edema, shortness of breath, exertional chest pain, fatigue, dizziness, irregular heart rhythms, and heart murmurs. The client should report any of these symptoms so immediate treatment can occur.

Test Taking Tip

Be sure to understand that cardiomyopathy usually produces signs and symptoms of heart failure due to pathophysiology of the condition.

Video Rationale