Exam 7: Care of the Patient Experiencing Heart Failure

How should the nurse explain to a patient in heart failure the mechanism of action of an aldosterone antagonist?

A patient is very short of breath. Which finding should cause the nurse to consider that the shortness of breath might be due to heart failure?

Which finding should cause the nurse to suspect a patient with heart failure is experiencing end organ hypoperfusion? Select all that apply.

A patient is diagnosed with left-sided heart failure. What should the nurse include when describing the disease process to this patient? Select all that apply.

A patient is admitted for treatment of acute decompensated heart failure (ADHF). Which medication should the nurse prepare to administer first?

What is the nurse least likely to assess in a patient experiencing acute decompensated heart failure with pulmonary edema?

The nurse reviews teaching provided to a patient with heart failure. What should be emphasized during this teaching? Select all that apply.

While transferring a patient with heart failure from the bed to a chair, the nurse stops and decides to keep the patient in bed. What patient manifestation indicated to the nurse that this patient's status was deteriorating? Select all that apply.

The nurse is preparing medications for the patient experiencing acute decompensated heart failure. Which medication should be administered first to improve gas exchange for the patient? Select all that apply.

When teaching a patient with heart failure about ventricular remodeling, the nurse should recognize that additional teaching is needed if the patient makes which statement about remodeling?

Which findings should the nurse report to the health care provider as evidence that the condition of a patient with heart failure is deteriorating? Select all that apply.

A patient in heart failure is being given a first dose of lisinopril (Prinivil) 10 mg PO. Which finding should cause the nurse to question the administration of the first dose?

The nurse notes that the QRS duration of a patient with a biventricular pacemaker is widening. What does this most likely indicate?

A patient has been receiving milrinone (Primacor) for cardiogenic shock from acute decompensated heart failure. What finding indicates that this medication has been effective in the patient? Select all that apply.

After teaching a patient with heart failure about beta blocking agents, the nurse recognizes that additional teaching is needed when the patient makes which statement?

A patient in heart failure is to be started on an infusion of dobutamine (Dobutrex). What is most important for the nurse to assess before starting the infusion?

An 82-year-old patient is readmitted for heart failure (HF) 1 week after being discharged for the same diagnosis. Which findings most likely contributed to the patient's readmission? Select all that apply.

What should the nurse realize when planning care for a patient with a body mass index of 40 who is newly diagnosed with heart failure?

A patient with a history of type 2 diabetes mellitus and heart failure is prescribed carvedilol (Coreg). What should the nurse assess prior to administering this medication to the patient? Select all that apply.

The nurse suspects that compensatory mechanisms have been activated in a patient with heart failure. What did the nurse assess to make this clinical determination?