CH. 34 heart failure
A patient with heart failure (HF) is admitted to the hospital, put on bed rest, administered oxygen, and treated with an angiotensin-converting enzyme (ACE) inhibitor. Additionally, the patient is educated about healthy lifestyle choices to prevent HF symptoms. Which statements by the patient indicate that the collaborative care goals have been met?
-"It is much easier to breathe." -"I am able to walk to and from the restroom much easier now." -"I have been taking this medication as ordered since it was prescribed."
A patient with acute decompensated heart failure (ADHF) is admitted to the unit. About which orders should the nurse ask for clarification?
-Regular diet -Normal saline IV bolus -Vital signs every 4 hours
Which foods should a patient taking a loop diuretic for management of chronic heart failure (HF) be encouraged to eat?
-bananas -dried fruit -orange juice
A patient with acute decompensated heart failure (ADHF) is admitted to the cardiac care unit and is prescribed furosemide 40 mg intravenous push STAT, which is available from the pharmacy as 10 mg/mL. How much of the drug should be drawn up in order to deliver the correct dose?
4 mL
A patient with heart failure (HF) is being discharged with new medications and oxygen therapy. The patient reports still feeling weak and expresses concern about using the oxygen tank. About which collaborative care option should the nurse educate the patient?
Home health referral
A patient with acute decompensated heart failure (ADHF) is receiving digoxin intravenously. Which assessment finding would the nurse expect if the medication is having a therapeutic effect?
Increased myocardial contractility
The nurse is preparing teaching for a patient hospitalized with severe heart failure (HF) with secondary renal insufficiency. Which will be important to include in the teaching plan regarding diet prior to discharge?
Limit fluid intake to 2 L per 24 hours.
Which laboratory result will the nurse assess prior to administering spironolactone to a patient with chronic heart failure (HF)?
Potassium
A nurse and patient are developing a comprehensive care plan for treating the patient's heart failure (HF). The patient asks why it is necessary to monitor sodium intake. Which response by the nurse is best?
Sodium allows the body to retain more fluid.
A patient with heart failure (HF) is experiencing dyspnea and reports not being able to perform their tasks of daily living due to the symptoms. What nondrug recommendation by the nurse is appropriate for the care of this patient?
"Take some time off work and rest."
