NursingPlex
    Sign In
    Ati rn 402 med surg proctored exam

    Which compensatory mechanism is involved in both chronic heart failure and decompensated heart failure, leading to fluid retention and edema?

    Explanation & Rationale

    A. Increased systemic blood pressure – While systemic vasoconstriction may occur to maintain perfusion, it is a result of compensatory mechanisms like RAAS, not a primary mechanism leading to fluid retention and edema. B. Renin-angiotensin-aldosterone activation – RAAS leads to: Sodium and water retention via aldosterone Vasoconstriction via angiotensin II These changes increase intravascular volume, contributing to fluid overload and edema. C. Ventricular hypertrophy – This is a structural adaptation to increased workload (pressure overload), not directly responsible for fluid retention. D. Ventricular dilation – Dilation occurs as a result of chronic volume overload, not as a compensatory mechanism causing fluid retention.

    🔒 Submit your answer to reveal