Heart failure
1. What assessment data will the nurse use to determine the effectiveness of the physician's orders for a patient with heart failure?
Oxygen saturation, assessment of lung sounds, respiratory rate, capillary refill, assessment of peripheral edema, daily weights, intake and output
The nurse is caring for a patient newly diagnosed with heart failure (HF). The patient is to receive a first dose of digoxin (Lanoxin) 0.125 mg IV push. An ampule containing 0.25 mg/mL is available. How many millilitres should the nurse draw up to administer the dose? a.0.5 mL b.0.6 mL c.1.2 mL d.1.4 mL
a 0.5
A patient with a recent diagnosis of heart failure (HF) has been prescribed furosemide (Lasix) in an effort to: a.reduce preload b.decrease afterload c.increase contractility d.promote vasodilation
a.reduce preload
Correctly assign clinical manifestations A, B, C and D to right or left heart failure. Right-sided Heart Failure __________________ Left-sided heart failure __________________ A. Pulmonary edema B. Peripheral edema C. Jugular venous distension (JVD) D. Hepatomegaly
1. Right-sided Heart Failure B, C, D Left-sided Heart Failure A
A patient admitted with heart failure (HF) appears very anxious and complains of shortness of breath. Which of the following nursing actions would be appropriate to alleviate this patient's anxiety? (Select all that apply.) A.Position patient in a semi-Fowler's position. B.Administer ordered morphine sulphate. C.Position patient on left side with head of bed flat. D.Instruct patient on the use of relaxation techniques. E.Use a calm, reassuring approach while talking to patient.
6 A B D E
Which patient is at greatest risk for sudden cardiac death? A.A 60-year-old Black male with left ventricular failure B. A 52-year-old White female with hypertension and dyslipidemia C.A 42-year-old overweight male with diabetes mellitus and high cholesterol D. a 72-year-old Aboriginal female with a family history of heart disease
A 60-year-old Black male with left ventricular failure
A hospitalized patient with angina tells the nurse that she is having chest pain. What best describes the nature of anginal pain? A.Will be relieved by rest, nitroglycerine, or both. B.Is less severe that pain of a myocardial infarction. C.Indicates that irreversible cellular damage is occurring. D.Is frequently associated with vomiting and extreme fatigue.
A.Will be relieved by rest, nitroglycerine, or both.
what are the Classifications of HF
Classification • Heart failure is classified as systolic or diastolic failure. o Systolic failure, the most common cause of HF, results from an inability of the heart to pump blood. o Diastolic failure is an impaired ability of the ventricles to relax and fill during diastole. Decreased filling of the ventricles will result in decreased stroke volume.
what is Heart failure (HF) ?
Heart failure (HF) is an abnormal clinical syndrome involving impaired cardiac pumping and/or filling. Not all patients with HF will have pulmonary congestion or volume overload. • HF is characterized by ventricular dysfunction, reduced exercise tolerance, diminished quality of life, and shortened life expectancy. • Risk factors include coronary artery disease (CAD) and advancing age. Hypertension, diabetes, cigarette smoking, obesity, and high serum cholesterol also contribute to the development of HF.
What are the clinical manifestations of left-sided heart failure? Right-sided heart failure?
Left-sided heart failure is characterized by pulmonary congestion and edema. Right-sided heart failure is characterized by venous congestion and peripheral edema, hepatomegaly, splenomegaly, vascular congestion of the gastrointestinal tract, and jugular venous distension.
Match the following terms with correct definition: ___Preload ___Afterload ___Diastole ___Systole 1Relaxation of the myocardium 2Contraction of the myocardium 3Volume of blood in the ventricles at end of diastole 4Peripheral resistance against which the left ventricle must pump
• 3 Preload • 4. Afterload • 1. Diastole • 2. Systole