EDAPT Heart Failure

A 67-year-old female woke up in the middle of the night with shortness of breath. She found he was able to sleep better in the recliner. She has a non-productive cough and is short of breath when walking over 20 feet. Her weight for the last three days is as follows: 154.3 lbs., 154.7 lbs., 157.4 lbs. She takes furosemide and potassium supplementation daily for heart failure. She has no swelling in her feet at this time. Given the description, this is most likely:

Acute left

In preparing for discharge teaching, which of the following actions can the client take to most accurately monitor for an exacerbation of chronic heart failure?

Weigh daily and notify healthcare provider with gain >3 pounds in 2 days.

When a client is admitted for symptomatic heart failure, what is the priority medication the nurse can anticipate administering?

Furosemide

A client is experiencing acute left-sided heart failure. Which prescribed actions would the nurse expect? Select all that apply.

Furosemide 80mg IV every 6 hours x2 Oxygen 4 L/min to keep oxygen saturation greater than 92%

The utilization review nurse is auditing charts of several clients currently on the medical/surgical unit. The nurse is looking for similarities and differences between the charts. Review the assessment findings. Select which findings are consistent with heart failure, pneumonia, or COVID-19. An assessment finding may apply to more than one diagnosis.

Heart Failure SOB Productive cough Abnormal lung sounds Abnormal heart sounds Pneumonia SOB Productive cough Fever Abnormal lung sounds COVID-19 SOB Fever Abnormal lung sounds

The nurse is caring for a client with right-sided heart failure. Which symptoms can they expect to find? Select all that apply.

JVD Pitting edema in the lower extremities

your client is a 72-year-old male discharged from the hospital after experiencing an acute exacerbation of heart failure. In reviewing the discharge plan, which of the following actions will directly reduce rehospitalization for exacerbation of heart failure? Select all that apply.

Teach and reinforce low sodium diet. Refer to the local heart failure clinic.

Deborah is accompanied by her partner, Jamie, to the follow-up visit. While discussing the prevention of heart failure symptoms and ways to promote wellness, Jamie makes the following statements. Which statement indicates more teaching is needed?

"On busy nights, we will sometimes eat the prepackaged meals from the grocery store."

The nurse is completing a care plan for this client. Match the nursing diagnoses with the most appropriate actions and assessment findings.

1. Ineffective peripheral tissue perfusion 2. fluid volume excess 3. decreased cardiac output 4. Impaired gas exchange 5. Knowledge deficit 6. Disturbed sleep pattern

The nurse reviews the chart of a client admitted with acute heart failure. Which of the following indicates acute heart failure?

Chest x-ray showing bibasilar pleural effusions

A 58-year-old female experiencing fatigue, and weakness with most activities. She takes furosemide and potassium supplementation for periodic swelling she gets in her feet towards the end of the day. She has no orthopnea or shortness of breath. Her weight for the last three days is as follows: 154.3 lbs., 156.2 lbs., 155.3 lbs. Given the description, this is most likely

Chronic right

George (pronouns: he/him) is a 68-year-old male with a history of myocardial infarction, who experiences progressive shortness of breath with activity and at rest. He was driven to the emergency department for further treatment. He has an occasional cough with pink frothy sputum. Upon assessment, he appears to be experiencing mild distress with slightly labored breathing and crackles in the base of the lungs. Skin is cool and dry. Capillary refill is less than 3 seconds. Pulse is +3 and regular. He is alert and oriented to person, place, and time. Which findings require immediate follow-up by the nurse?

Immediate follow up: 1, 3 Answer not correct***

The nurse reviews Deborah's progress note. Which items are relevant to her follow-up evaluation of right-sided heart failure? Select all that apply.

Laboratory testing Physical assessment Weight height and BMI

Deborah is at the office for a follow-up of her right-sided heart failure. She is frustrated with the amount of medication she takes. In reviewing her medication, the nurse explains which medications she is taking for heart failure.​ Select the medications she is taking for heart failure below:

Lisinopril Carvedilol Furosemide

The nurse is reviewing admission orders for a new client admitted with acute heart failure. Which of the following items or conditions would require immediate action? Select all that apply.

Oxygen ordered for oxygen saturation 84% on room air Monitor shows ventricular tachycardia with a heart rate of 300

Which assessment findings would most accurately indicate an improved outcome for this client's heart failure?

input and output

Deborah (pronouns: she/her) is at the office for a follow-up of right-sided heart failure. Review the visit information below and identify items that require further follow-up by the nurse.

weight edema