PrepU Ch. 25
A client has been having cardiac symptoms for several months and is seeing a cardiologist for diagnostics to determine the cause. How will the client's ejection fraction be measured? a. echocardiogram b. electrocardiogram c. cardiac catheterization d. cardiac ultrasound
A
A client is exhibiting digitalis toxicity. Which of the following medications would the nurse expect to be ordered for this client? a. Digoxin immune FAB b. Ibuprofen c. Warfarin d. Amlodipine
A
The clinical manifestations of cardiogenic shock reflect the pathophysiology of heart failure (HF). By applying this correlation, the nurse notes that the degree of shock is proportional to which of the following? a. Left ventricular function b. Right ventricular function c. Left atrial function d. Right atrial function
A
The nurse is admitting a client with frothy pink sputum. What does the nurse suspect is the primary underlying disorder of pulmonary edema? a. decreased left ventricular pumping b. decreased right ventricular elasticity c. increased left atrial contractility d. increased right atrial resistance
A
The nurse is teaching a group of clients with heart failure about how to decrease leg edema. What dietary advice will the nurse give to clients with severe heart failure? a. Avoid the intake of processed and commercially prepared foods. b. Avoid the intake of canned fruit and fruit juices. c. Encourage increased intake of vegetables with natural sodium. d. Encourage increased intake of red meat.
A
Which action will the nurse include in the plan of care for a client admitted with acute decompensated heart failure (ADHF) who is receiving milrinone? a. Monitor blood pressure frequently b. Encourage the client to ambulate in room c. Titrate milrinone rate slowly before discontinuing d. Teach the client about safe home use of the medication
A
Which is a characteristic of right-sided heart failure? a. Jugular vein distention b. Dyspnea c. Pulmonary crackles d. Cough
A
The nurse finds a client unresponsive in the hospital room and calls a cardiac arrest. Which health care professionals will be responsible for an insertion of the endotracheal tube during the cardiac arrest? Select all that apply. a. respiratory therapist b. nurse c. nurse anesthetist d. physician e. paramedic
A, C, D
A client arrives at the ED with an exacerbation of left-sided heart failure and reports shortness of breath. Which is the priority nursing action? a. Administer angiotensin II receptor blockers b. Assess oxygen saturation c. Administer diuretics d. Administer angiotensin-converting enzyme inhibitors
B
A client is receiving captopril for heart failure. During the nurse's assessment, what sign indicates that the medication therapy is ineffective? a. skin rash b. peripheral edema c. bradycardia d. postural hypotension
B
A client with left-sided heart failure reports increasing shortness of breath and is agitated and coughing up pink-tinged, foamy sputum. The nurse should recognize these findings as signs and symptoms of what condition? a. right-sided heart failure. b. acute pulmonary edema. c. pneumonia. d. cardiogenic shock.
B
Which describes difficulty breathing when a client is lying flat? a. Paroxysmal nocturnal dyspnea (PND) b. Orthopnea c. Tachypnea d. Bradypnea
B
Which is a manifestation of right-sided heart failure? a. Accumulation of blood in the lungs b. Systemic venous congestion c. Increase in forward flow d. Paroxysmal nocturnal dyspnea
B
While auscultating the heart sounds of a client with heart failure, the nurse hears an extra heart sound immediately after the second heart sound (S2). How should the nurse document this sound? a. a first heart sound (S1). b. a third heart sound (S3). c. a fourth heart sound (S4). d. a murmur.
B
A client with right-sided heart failure is admitted to the medical-surgical unit. What information obtained from the client may indicate the presence of edema? a. The client says that he has been urinating less frequently at night. b. The client says he has been hungry in the evening. c. The client says his rings have become tight and are difficult to remove. d. The client says he is short of breath when ambulating.
C
The nurse is assessing a client with crackling breath sounds or pulmonary congestion. What is the cause of the congestion? a. ascites b. hepatomegaly c. inadequate cardiac output d. nocturia
C
The nurse is teaching a client with heart failure about the ability for the heart to pump out blood. What diagnostic test will measure the ejection fraction of the heart? a. MRI b. pulmonary arterial pressure c. echocardiogram d. nuclear angiography
C
A client has a myocardial infarction in the left ventricle and develops crackles bilaterally; 3-pillow orthopnea; an S3 heart sound; and a cough with pink, frothy sputum. The nurse obtains a pulse oximetry reading of 88%. What do these signs and symptoms indicate for this client? a. The development of chronic obstructive pulmonary disease (COPD) b. The development of left-sided heart failure c. The development of right-sided heart failure d. The development of cor pulmonale
D
A client is admitted to the ICU with a diagnosis of heart failure. The client is exhibiting symptoms of weakness, ascites, weight gain, and jugular vein distention. The nurse would know that the client is exhibiting signs of what kind of heart failure? a. Left-sided heart failure b. Chronic heart failure c. Acute heart failure d. Right-sided heart failure
D
Which New York Heart Association classification of heart failure has a poor prognosis and includes symptoms of cardiac insufficiency at rest? a. I b. II c. III d. IV
D
