Answer: the most likely finding on the patient´s cardiac examination if he has hypertrophic cardiomyopathy is B. brisk heart sounds and s4 gallop
Explanation:
The hypertrophic Left Ventricle (VI) is very distensible and its relaxation may take longer or be incomplete. To maintain cardiac output (GC) it is necessary to increase the sympathetic system: stronger heart contractions and increased heart rate, but all these compensatory mechanisms only work as temporary adaptation, if they are maintained over time they will otherwise generate harmful effects .
To achieve the filling of the Left Ventricle, higher than normal venous pressures are necessary, which leads to the atrial dilate and this situation predisposes the patient to pulmonary venous hypertension or edema.
<u>
</u>
<u>In addition, a displacement of the mitral valve against the hypertrophic septum is generated, at the beginning of the systole the speed of blood passage through the stenosis is increased in the left ventricular outflow tract creating turbulence which results in a blew it</u>. Finally, an increase in the left intraventricular pressure is generated, which generates an increase in myocardial wall stress and oxygen demand.
The action that the nurse should include in the care plan would be to administer the prescribed intravenous fluid with the added vitamin C.
<h3>Why is it advisable to include vitamin C in this diet?</h3>
The reason why it is advisable to include vitamin C in this diet is because this vitamin has essential components that contribute to wound healing.
On the other hand, you should supplement this intake of vitamin C with protein to rebuild tissues and avoid salts because they can cause fluid retention in the patient.
Note: This question is incomplete because the options are missing. Here are the options:
- Provide a diet high in sodium.
- Limit caloric intake to decrease the work of the body.
- Reduce protein intake to avoid overtaxing the kidneys.
- Administer the prescribed intravenous fluid with the added vitamin C.
Learn more about diet in: brainly.com/question/730270
#SPJ12