2300 U9 Perfusion I

The major goal of therapy for a client with heart failure and pulmonary edema should be to A) Increase cardiac output B) Improve respiratory status C) Decrease peripheral edema D) Enhance comfort

A

Which of the following food should the nurse teach a client with heart failure to avoid or limit when following a 2 gram sodium diet? A) Apples B) Tomato juice C) Whole wheat bread D) Beef tenderloin

B

The nurse is planning care for a pediatric client recovering from surgery to repair a congenital heart defect. Which intervention should the nurse include to support the client's fluid status? A) Maintain IV therapy until a day before discharge B) Limit fuids C) Monitor output D) Encourage fluids

D

A 69 year old female has a history of heart failure. She is admitted to the emergency department with heart failure complicated by pulmonary edema. On admission of the client, which of the following should the nurse assess first? A) Blood pressure B) Skin breakdown C) Serum potassium level D) Urine output

A

A client is prescribed metoprolol for a heart disorder. What should the nurse teach the client about this medication? A) Change positions slowly B) Reduce protein intake C) Increase fluids D) Expect a rapid heart rate

A

An infant is being prepared for surgical repair of a ventricular septal defect. Which of the following problems will be prevented by closing the defect? A) Failure to thrive B) Ventricular dysrhythmias C) Heart block D) Respiratory alkalosis

A

Cardiac catheterization has shown that the infant has a malformation of the mitral valve. The nurse specifically monitors the client for the development of problems associated with delivery of which of the following? A) Oxygenated blood to the body B) Deoxygenated blood to the lung C) Oxygenated blood to the right atrium D) Deoxygenated blood to the left ventricle

A

During an assessment of a neonate born at 33 weeks gestation, a nurse finds and reports a heart murmur. An echocardiogram reveals patent ductus arteriosus, for which the neonate recieved indomethacin. An expected outcome after the administration of indomethacin to a neonate with patent ductus arteriosus is A) Closure of a patent ductus arteriosus B) Decreased bleeding time C) Increased GI functino D) Increased renal output

A

When teaching a client with heart failure about preventing complications and future hospitalizations, select all the problems stated by the client as reasons to call the physician that would indicate to the nurse that the client has understood the teaching? A) Becoming increasingly short of breath at rest B) Weight gain of 3 lb or more in 1 day C) High intake of sodium for breakfast D) Having to sleep sitting in a reclining chair E) Weight loss of 2 lb in 1 day

A, B, D

Select all of the following nursing diagnoses would be appropriate for a client with heart failure? A) Ineffective tissue perfusion r/t decreased peripheral blood flow secondary to decreased cardiac output B) Activity intolerance r/t increased cardiac output C) Decreased cardiac output r/t structural and functional changes D) Impaired gas exchange r/t decreased sympathetic nervous system activity

A, C

A nurse is assessing a client with heart failure. The nurse should assess the client based on which compensatory mechanisms that are activated in the presence of heart failure? Select all that apply A) Ventricular hypertrophy B) Parasympathetic nervous stimulation C) Renin-angiotensin-aldosterone system D) Jugular vein distention E) Sympathetic nervous stimulation

A, C, E

After the physician explains the prognosis and medical management for atrial septal defect to a primipara client whose 2 day old female neonate was diagnosed with this condition, the nurse determines that the mother needs further instructions when she says which of the following? A) As my child grows she may have increased fatigue and difficulty breathing B) My child may need to have antibiotics only if she develops an infection C) This condition occurs more commonly in females than in males D) About half of the children born with this defect heal spontaneously

B

In which of the following positions should the nurse place a client with suspected heart failure? A) Semi-sitting (Low Fowlers position) B) Lying on the right side (Sims position) C) Sitting almost upright (High Fowlers position) D) Lying on the back with the head lowered (Trendelenburg position)

C

The nurse is caring for a term neonate who is diagnosed with patent ductus arteriosus. While performing a physical assessment on the neonate, the nurse anticipates that the neonate will exhibit which of the following? A) Decreased cardiac output with faint peripheral pulses B) Profound cyanosis over most of the body C) Loud cardiac murmurs through systole and diastole D) Harsh systolic murmurs with a palpable thrill

C

The nurse's discharge teaching plan for the client with heart failure should stress the significance of which of the following? A) Maintaining a high fiber diet B) Walking 2 miles every day C) Obtaining daily weights at the same time each day D) Remaining sedentary for most of the day

C

Which of the following sets of conditions is an indication that the client with a history of left-sided heart failure is developing pulmonary edema? A) Distended jugular veins and wheezing B) Dependent edema and anorexia C) Coarse crackles and tachycardia D) Hypotension and tachycardia

C

The nursing instructor is teaching their clinical group how to assess a client for congestive heart failure. How would the instructor teach the students to assess a client with congestive heart failure for nocturnal dyspnea? A) By collecting the client's urine output B) By observing the client's diet during the day C) By measuring the client's abdominal girth D) By questioning how many pillows the client normally uses for sleep

D