Drugs for heart failure- Ch. 27 Questions

A patient is diagnosed with acute heart failure and is at risk of organ failure. Which class of drugs should the nurse expect to be prescribed short term for this patient?

Phosphodiesterase inhibitor

The nurse is preparing teaching about an ace inhibitor for a client. Which statement about this medication should the nurse include?

Prevents vasoconstriction and decreases peripheral resistance

A client is prescribed an ace inhibitor. Which adverse effect should the nurse include when teaching the client about this medication? Select all that apply

1) cough 2) headache 3) Hyperkalemia

A client is demonstrating signs of heart failure. Which disorders should the nurse suspect as a possible etiology? Select all that apply

1) diabetes mellitus 2) coronary artery disease 3) mitral stenosis

The nurse is observing a patient with heart failure. Which process acts as a compensatory mechanism to maintain cardiac output for this patient?

Increased preload

ventricular hypertrophy

Diminished contractibility in cardiac output

A patient with pulmonary congestion as prescribed a diuretic. Which intervention should the nurse include in this patient's plan of care?

Monitor vital signs, electrolytes, renal function, and drug levels

The nurse reviews lifestyle changes that would be helpful for a patient with heart failure. Which patient statement indicates to the nurse that teaching was effective?

I will work with a nutritionist on lowering my fat intake and my alcohol intake, and I will begin to walk each day.

A client is diagnosed with C stage heart failure. Which medication should the nurse recognize as most effective in treating this stage of the disease?

IV diuretic

A client is prescribed furosemide, a loop diuretic, for treatment of heart failure. Which teaching sure the nurse provide to ensure that the client is monitoring response to therapy correctly? Select all that apply

1) Record weight daily 2) meet with the dietitian to discuss fat intake 3) Weigh self daily and report any significant changes to the healthcare provider

For which clinical manifestations should the nurse assess in a client with heart failure? Select all that apply

1) fatigue 2) dual was in exertion 3) peripheral edema 4) pulmonary congestion

The nurse is teaching a colleague about the truck milrinone, a phosphodiesterase inhibitor. Which statement by the colleague indicates teaching has been effective?

1) it will only be administered for 2 to 3 days 2) it has an onset of 2 to 10 minutes 3) it has a positive inotropic action 4) it is only administered intravenously

The nurse is reviewing the patient's serum digoxin level. At which level should the nurse expect to hold this medication and notify the healthcare provider?

1.8 ng/mL or greater

The nurse teaches a patient prescribed a Jackson how to measure the peripheral pulses. Which heart range should indicate to the nurse that the patient understands when to take the medication?

60 to 100 bpm

The nurse notes that a patient is prescribed a beta adrenergic antagonist. Which information should the nurse include when discussing this new medication?

Slows heart rate and reduces blood pressure, decreasing the cardiac workload

For which clinical manifestations should the nurse assess in a patient with left heart failure?

Accumulation of fluid in the lungs

The nurse is caring for a patient with chronic heart failure. Which drug most commonly prescribed and preferred for chronic heart failure should the nurse expect for this patient?

Ace inhibitor

The nurse reviews the mechanism of action for an ace inhibitor with colleagues. Which statement by a colleague indicates the teaching was effective?

Ace inhibitors lower peripheral resistance and inhibit aldosterone secretion to increase cardiac output

The nurse is caring for a patient with heart failure. The nurse should expect which immediate homeostatic response to diminished cardiac output causing an increase in the patient's heart rate?

Activation of the sympathetic nervous system

A client with heart failure and hypo kalemia as prescribed milrinone, a phosphodiesterase inhibitor. Which action should the nurse take before providing the medication?

Address the electrolyte in balance ( milrinone known can increase the likelihood of dysrhythmias)

A patient is prescribed a medication that suppresses the SA node and changes electrical conductivity in the AV node to slow the heart rate. For which medication should the nurse prepare teaching?

Digoxin

The healthcare provider indicates that a client with heart failure will be prescribed a drug to block the action of the sympathetic nervous system. Which class of drugs should the nurse expect to be prescribed?

Beta adrenergic antagonist

The nurse is describing cardiac remodeling to a colleague

Changes in the size, shape, and structure of the heart cells occur as a compensatory mechanism to improve stroke volume

Testing has shown that a patient with heart failure has an increased preload. The nurse should recognize that which physiological adaptation has occurred?

Compensatory mechanism

An older patient receiving digoxin is lethargic, has a pulse rate of 54 bpm and experiences nausea and vomiting. Which action should the nurse take first?

Contact the healthcare provider

The nurse plans to monitor vital signs, electrolytes, renal function, and drug levels for a patient with heart failure which medication shit the nurse expect to provide to this patient?

Diuretic

When caring for a patient with her failure, the nurse notices peripheral edema and alerts the healthcare provider. Which medication should the nurse expect to be prescribed?

Diuretic

A patient has a health problem which the heart cannot pump enough blood to keep up with the demands needed in the body. Which general cardiovascular disorders for the nurse suspect this patient is experiencing?

Heart failure

The healthcare provider has started a client with heart failure on oral metoprolol, a selective beta1 adrenergic blocker. Which action should the nurse take?

Hold if pulse is less than 60 bpm

The nurse is preparing a teaching tool identifying medications commonly prescribed to treat heart failure. Which statement should the nurse use to explain the mechanism of action of a cardiac glycoside?

Increase the strength of myocardial contraction, which increases cardiac output

Through which route should the nurse expect to administer milrinone, a phosphodiesterase inhibitor

Intravenous

The nurse is teaching a patient with heart failure about the importance of maintaining a properly functioning heart. Which statement regarding decompensation should the nurse include in the teaching?

It is important to follow the recommended sodium and water restrictions so symptoms don't worsen.

The nurse instructed patient and spouse on measuring the peripheral pulses. For which pulse range should the nurse instruct withhold taking a dose of digoxin?

Less than 60 and greater than 100 bpm

A client with left-sided heart failure also has type two diabetes mellitus. Which statement to the nurse include when teaching this client?

Managing the diabetes may help improve your heart function

The nurse continuously monitors the cardiac rhythm of a patient receiving Milrinone, a phosphodiesterase inhibitor. Which additional intervention should the nurse implement to assess for adverse effects of this medication.

Monitor vital signs, counting apical pulse for one full minute

A patient is prescribed a test to assess for substances that are secreted in response to increased pressure in the heart. Which substance to the nurse explain is being tested?

Natriuretic peptides

For which common side effect should the nurse monitor patient who is prescribed an ace inhibitor?

Orthostatic hypotension

A client is prescribed an ace inhibitor immediately following an acute myocardial infarction. For which reason should the nurse realize that this toast was prescribed?

Reduce risk of mortality

The nurse is administering an ace inhibitor drug to a patient. For which concern to the nurse realize this medication is being prescribed?

Risk of heart failure

Which statement should the nurse use to explain the mechanism of action for digoxin?

Sodium, potassium, and ATPase are inhibited, allowing for the release of stored calcium ions to produce forceful contraction of myocardial fibers

The nurse is administering digoxin to a client for heart failure. Which action should the nurse implement prior to administration?

Take apical pulse for one full minute

A nurse is providing discharge teaching to a client who was recently started on medication for heart failure. The patient asks what should be done if a dose is missed. Which statement to the nurse include in the response?

Take prescribed dose at next scheduled time

The nurse is reviewing the cardiac rhythm of a patient receiving digoxin. The nurse should recall that which medication describes how digoxin slows the heart rate?

The SA node is suppressed, which slows the electrical conductivity through the AV node.

Nurse is teaching a patient who has been prescribed a beta adrenergic blockers. Which statement should the nurse include about the drug?

The dose of the drug will be doubled every 2 to 4 weeks until the optimal doses increased

Which statement should the nurse use to describe heart failure to a patient?

The heart is unable to pump enough blood to keep up with a metabolic demands of the body

Which statement should the nurse use to explain how the kidneys compensate for diminished blood flow in heart failure?

The kidneys activate the RAAS resulting in increased preload

A client with heart failure asks what caused the health problem. Which response for the nurse make?

The left side of the heart has weekend, causing fluid to build up in the capillaries in the lung, which ultimately decrease his oxygen and her

A patient is prescribed a phosphodiesterase inhibitor to be administered immediately. For which reason should the nurse realize this medication is prescribed?

The patient is experiencing decompensated heart failure and is approaching organ failure

A client with mitral stenosis begins to experience coughing, which is worse and when lying down. After assessing a rapid heart rate, which event should the nurse identify that has occurred?

The sympathetic nervous system has been activated as a compensatory mechanism

A patient asks why a thiazide diuretic has been prescribed. Which information should the nurse include when responding to this patient?

Used when there is evidence of fluid retention

A patient has been prescribed a medication lowers blood pressure by relaxing the blood vessels. For which medication should the nurse prepare teaching?

Vasodilator

A patient is receiving mill neuron (Primacor), a phosphodiesterase inhibitor, for advanced heart failure. For which adverse effects of the nurse monitor this patient?

Ventricular dysrhythmia

The nurse instruct the patient receiving medication for heart failure and actions to take it home. Which change in daily weight should the nurse instruct the patient to report to the healthcare provider?

Weight loss or gain of more than 1 kg in a 24 hour period