Chapter 27

Which statement(s) is/are true regarding valsartan-sacubitril (Entresto)? (Select all that apply.)

Blocks angiotensin-mediated peripheral vasoconstriction Suppresses aldosterone Causes vasodilation

The nurse is caring for a 3-year-old girl who has a congenital heart anomaly. The patient's current medications include digoxin and furosemide (Lasix). The apical pulse rate is 100 beats/min. Which action will the nurse take?

A. Administer the medication

Which agents stimulate the heart to increase the force of contractions, thereby increasing cardiac output?

A. Inotropic

Which action(s) will the nurse take when caring for a patient with heart failure? (Select all that apply.)

Assess electrolyte levels Report daily weight fluctuations Maintain skin hygiene

Which drug is used to obtain vasodilation in the treatment of chronic heart failure?

B. ACE inhibitors

Which medication when given with digoxin increases the risk for toxicity?

B. Furosemide (lasix)

The nurse is to administer digoxin to an 18-month-old patient who weighs 16.5 lb. Guidelines for administration read as follows: 0.0075 to 0.010 mg/kg/day. Which is a safe medication dosage?

C. 0.074

Which drug will be administered to a patient being admitted with severe digoxin intoxication?

C. Digoxin immune Fab (Digibind)

An older adult male patient with long-term heart failure has presented for an office visit. The nurse obtains information that he has recently begun taking St. John's wort. Which results can occur with the use of this herbal supplement?

C. Reduced therapeutic benefits of digoxin

Which initial manifestation of digoxin toxicity is assessed in children?

C. atrial dysrhythmia

The nurse is providing teaching to a patient with heart failure who has been prescribed nifedipine, a calcium channel blocker. Which statement by the nurse is accurate?

D. "This medication reduces the resistance your heart has to pump against"

Which position is best for the patient diagnosed with altered cardiac function when auscultating their lung sounds?

D. Fowlers

Which action of ACE inhibitors results in effective treatment of heart failure?

D. Increased cardiac output

Which nursing assessment is most important to determine fluid status for a patient with heart failure?

Daily weights

The nurse is assessing an emergency department patient who was recently discharged following a myocardial infarction (MI). Which symptom(s) would the nurse observe in this patient with left ventricular systolic failure? (Select all that apply.)

Diminished exercise tolerance Shortness of breath with activity

Which contributing factor(s) to heart failure is/are modifiable? (Select all that apply.)

Hypertension Addiction to smoking Exercise tolerance

Which instruction(s) should be provided to a patient diagnosed with altered cardiac function? (Select all that apply.)

Regular, mild exercise Good skin care Stress reduction

Before administering digoxin (Lanoxin), the nurse takes the adult patient's apical pulse for 1 full minute. Which additional nursing consideration(s) will be taken before administration of the medication? (Select all that apply.)

Review of the digoxin blood level Review of serum electrolytes, liver, and kidney function studies Obtaining baseline patient assessment data, including lung sounds, vital signs, and weight

Which statement(s) about vasodilators is/are true? (Select all that apply.)

They reduce systemic vascular resistance. They reduce preload. They decrease pulmonary congestion. They increase tissue perfusion to muscles and organs.

Which instruction by the nurse will be included when teaching an adult patient about digoxin (Lanoxin) for management of heart failure?

a. "Report nausea and vomiting to your health care provider."

Which time is appropriate to schedule the administration of a diuretic ordered for a patient diagnosed with congestive heart failure?

in the morning