Nursing Application: Heart Failure Medications
A patient has a history of heart failure. Which of the following statements by the patient indicates the patient may not be adhering to their prescribed medication regimen?
*"I've noticed that I've gain six pounds in one week." *"My shoes are tighter than they were last week." *"While I sleep I have to prop myself up with a pillow so I can breathe."
These drugs are used as first-line treatment of heart failure. They work by allowing more blood to flow to the heart which decreases the workload of the heart and allows the kidneys to secrete sodium. However, some patients can develop a nagging cough with these types of drugs. This description describes:
Angiotensin-converting-enzyme inhibitors
A patient with a diagnosis of heart failure has been started on a nitroglycerin patch by his primary care provider. What should this patient be taught to avoid?
Drugs to treat erectile dysfunction
The nurse is caring for a client who has heart failure and has a new prescription for sacubitril/valsartan. Which client information is most important to discuss with the health care provider before administration of the medication?
Taking lisinopril 10 mg daily
Which patient living with heart failure is most at risk for exacerbation of the disease?
The patient who reports not taking amiodarone for one month and is experiencing atrial fibrillation
The nurse is providing diet education to a patient with a history of heart failure. Which statement made by the patient indicates they understood the diet teaching?
"I will limit my consumption of frozen meals."
Select the data collected by the nurse prior to administering a dose of a prescribed medication to a patient with chronic heart failure.
*Blood pressure *Apical pulse
The nurse includes which parameters in ongoing focused assessment of patients receiving positive inotropic medication for heart failure? Select all that apply.
*Check apical pulse *Auscultate lung sounds *Monitor serum electrolytes *Obtain daily weights
Which topics will the nurse include in discharge teaching for a patient newly diagnosed with heart failure taking valsartan/sacubitril? Select all that apply.
*Date and time of next health care provider appointment *How to check and record weight daily *How to check food labels for potassium and fat content *Symptoms that heart failure is getting worse
Select all the correct statements about educating the patient with heart failure.
*Patients with heart failure should receive an annual influenza vaccine and be up-to-date with the pneumonia vaccine. *Heart failure patients should limit sodium intake to 2-3 grams per day. *Heart failure is exacerbated by illness, too much fluid or sodium intake, and arrhythmias.
The nurse would question the use of milrinone in a patient with which condition?
Aortic regurgitation
You are assisting a patient up from the bed to the bathroom. The patient has swelling in the feet and legs. The patient is receiving treatment for heart failure and is taking hydralazine and isordil. Which of the following is a nursing priority for this patient while assisting them to the bathroom?
Assist the patient up slowly and gradually
A stable patient prescribed valsartan/sacubitril to treat acute decompensated heart failure (ADHF) suddenly becomes dyspneic. Before positioning the patient on the bedside, which priority function will the nurse assess?
Blood pressure
What priority assessment data will the nurse caring for a patient receiving nesiritide monitor?
Blood pressure
A client with stable angina has a prescription for ranolazine 500 mg twice a day. Which client finding is most important for the nurse to discuss with the health care provider?
History of chronic constipation
The nurse is caring for a hospitalized client with heart failure who is receiving captopril and spironolactone. Which laboratory value will be most important to monitor?
Serum potassium
