Heart Failure
Deborah is accompanied by her husband for today's visit. While discussing prevention of heart failure symptoms and promotion of wellness, he makes the following statements. Which one of these statements indicates more teaching is needed?
"On busy nights we will sometimes eat the prepackaged meals from the grocery store."
A client is experiencing acute left sided heart failure. Which of the following 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%
Deborah is at the office for 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 20mg twice daily *Carvedilol 12.5mg twice daily *Furosemide 20mg daily
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
The nurse is caring for someone with right-sided heart failure. Which of the following symptoms can they expect to find? Select all that apply.
*Pitting edema in the lower extremities *Jugular venous distention
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.
*Refer to the local heart failure clinic. *Teach and reinforce low sodium diet.
You are reviewing today's chart information. Which of the following items is pertinent to your follow-up evaluation or her right heart failure?
*Weight, height, and body mass index (BMI) *Laboratory tests drawn this morning *Physical assessment information
Deborah is at the office for follow-up of her right sided heart failure. Review the visit information below and identify any items that require further follow-up concerning her heart failure.
*Weight: 122 *Edema: 2+ bilaterally
The home health nurse is visiting the following clients. Review the assessments below and indicate the most likely type of heart failure:
1. 67 Y.O.: Acute Left 2. 58 Y.O.: Chronic Right
Which of the following need to be addressed urgently?
1. Address urgently 2. Does not need urgent attention 3. Address urgently 4. Does not need urgent attention 5. Does not need urgent attention 6. Does not need urgent attention
1. Skin temperature and color Delayed capillary refill Decreased blood pressure 2. Weight gain Edema Abnormal lung assessment 3. Reduced blood pressure Increased pulse rate Skin color Decreased pulse strength Altered level of consciousness 4. Reduced oxygen saturation Abnormal arterial blood gas 5. Client interview 6. Sleep assessment
1. Ineffective peripheral tissue perfusion 2. Fluid volume excess 3. Decreased cardiac output 4. Impaired gas exchange 5. Knowledge deficit 6. Disturbed sleep pattern
1. Heart Failure 2. Pneumonia 3. COVID-19
1. Shortness of breath Productive cough Abnormal lung sounds Abnormal heart sounds 2. Shortness of breath Productive cough Fever Abnormal lung sounds 3. Shortness of breath Fever Abnormal lung sounds
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
When a client is admitted for symptomatic heart failure, what is the priority medication the nurse can anticipate administering?
Furosemide
Review all tabs for pertinant information. Which of the following assessment findings would most accurately indicate an improved outcome for this client's heart failure?
Input/Output record
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.
