Meyer and Leblanc Provided an Algorithm for Clinical Decision Making

question 11

Multiple Choice

Meyer and Leblanc provided an algorithm for clinical decision making for aquatic therapy intervention for patients with stable congestive heart failure and/or left ventricular dysfunction.All of the following are true in this algorithm except:

• A)Patients with decompensated congestive heart failure should participate in aquatic exercise for cardiac rehabilitation.
• B)Patients with left ventricular dysfunction should not rely on how they feel in the water as an indicator of tolerance for aquatic exercise.
• C)Patients with congestive heart failure who tolerate sleeping supine may be able to tolerate a half-sitting position if immersion is not above the xiphoid process.
• D)Patients with Q-wave myocardial infarcts should wait 6 weeks and exercise upright in a water level that does not exceed the xiphoid process.

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Definitions:

Non-Nucleoside Reverse

A class of antiretroviral drugs used to treat HIV by inhibiting the reverse transcriptase enzyme without mimicking nucleosides.

HIV Replication

The process by which the Human Immunodeficiency Virus duplicates its genetic material within a host's cells, spreading the infection.

Viral Protein

Proteins coded for by viral genes that are critical for the virus life cycle, including structure, replication, and evasion of host defenses.

Leukemia

A type of cancer affecting the blood and bone marrow, characterized by the overproduction of abnormal white blood cells.